Provider Demographics
NPI:1144641721
Name:LIMMER, ELEANOR MARTHA (MSW)
Entity type:Individual
Prefix:MS
First Name:ELEANOR
Middle Name:MARTHA
Last Name:LIMMER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1227 S LIBERTY DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-9736
Mailing Address - Country:US
Mailing Address - Phone:509-536-9730
Mailing Address - Fax:509-535-3981
Practice Address - Street 1:1227 S LIBERTY DR
Practice Address - Street 2:
Practice Address - City:LIBERTY LAKE
Practice Address - State:WA
Practice Address - Zip Code:99019-9736
Practice Address - Country:US
Practice Address - Phone:509-536-9730
Practice Address - Fax:509-535-3981
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-26
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA104100000X1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical