Provider Demographics
NPI:1356877138
Name:HEMMERLE, MEGAN K (LCSW)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:K
Last Name:HEMMERLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:K
Other - Last Name:MADSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:5155 ROSEBUD LN
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-9332
Mailing Address - Country:US
Mailing Address - Phone:812-773-8321
Mailing Address - Fax:812-961-6546
Practice Address - Street 1:5155 ROSEBUD LN
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-9332
Practice Address - Country:US
Practice Address - Phone:812-773-8321
Practice Address - Fax:812-961-6546
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34008652A1041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker