Provider Demographics
NPI:1720097736
Name:ZEMANN, KATHRYNE (LMSW)
Entity Type:Individual
Prefix:
First Name:KATHRYNE
Middle Name:
Last Name:ZEMANN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:KATHI
Other - Middle Name:
Other - Last Name:ZEMANN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:3 AMHERST ST
Mailing Address - Street 2:
Mailing Address - City:RED HOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12571-1002
Mailing Address - Country:US
Mailing Address - Phone:845-430-4390
Mailing Address - Fax:
Practice Address - Street 1:139 CORNELL ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-3633
Practice Address - Country:US
Practice Address - Phone:845-338-1234
Practice Address - Fax:845-338-6284
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073384104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY073384OtherLICENSE