Provider Demographics
NPI:1902151053
Name:NEMECEK, JOANNE ELAINE (LLMSW)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:ELAINE
Last Name:NEMECEK
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 CARE DR
Mailing Address - Street 2:STE. 231
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-5054
Mailing Address - Country:US
Mailing Address - Phone:517-439-2609
Mailing Address - Fax:517-439-2667
Practice Address - Street 1:25 CARE DR
Practice Address - Street 2:STE. 231
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-5054
Practice Address - Country:US
Practice Address - Phone:517-439-2609
Practice Address - Fax:517-439-2667
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801094441104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker