Provider Demographics
NPI:1619400660
Name:LONDEREE, EMILY (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:LONDEREE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 MEMORIAL AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-2662
Mailing Address - Country:US
Mailing Address - Phone:434-528-4580
Mailing Address - Fax:434-528-4584
Practice Address - Street 1:2600 MEMORIAL AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-2662
Practice Address - Country:US
Practice Address - Phone:434-528-4580
Practice Address - Fax:434-528-4584
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040087431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical