Provider Demographics
NPI:1033573928
Name:HERMESCH, EMILY BETH (LMSW)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:BETH
Last Name:HERMESCH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-2921
Mailing Address - Country:US
Mailing Address - Phone:785-554-7246
Mailing Address - Fax:785-271-6572
Practice Address - Street 1:5600 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66207-2921
Practice Address - Country:US
Practice Address - Phone:785-554-7246
Practice Address - Fax:785-271-6572
Is Sole Proprietor?:No
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9901104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker