Provider Demographics
NPI:1902136716
Name:HERMRECK, NANCY ANN (MSW, LSCSW, ACSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:ANN
Last Name:HERMRECK
Suffix:
Gender:F
Credentials:MSW, LSCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5072 COMANCHE LN
Mailing Address - Street 2:
Mailing Address - City:MC LOUTH
Mailing Address - State:KS
Mailing Address - Zip Code:66054-4162
Mailing Address - Country:US
Mailing Address - Phone:913-796-6978
Mailing Address - Fax:
Practice Address - Street 1:5072 COMANCHE LN
Practice Address - Street 2:
Practice Address - City:MC LOUTH
Practice Address - State:KS
Practice Address - Zip Code:66054-4162
Practice Address - Country:US
Practice Address - Phone:913-796-6978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-30
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLSCSW 0882104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker