Provider Demographics
NPI:1023429784
Name:WOODS, LEMEEKQUE T
Entity type:Individual
Prefix:MS
First Name:LEMEEKQUE
Middle Name:T
Last Name:WOODS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 W 174TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-7665
Mailing Address - Country:US
Mailing Address - Phone:718-294-4832
Mailing Address - Fax:
Practice Address - Street 1:108 W 174TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-7665
Practice Address - Country:US
Practice Address - Phone:718-294-4832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-15
Last Update Date:2024-11-22
Deactivation Date:2019-06-12
Deactivation Code:
Reactivation Date:2024-11-22
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool