Provider Demographics
NPI:1780057257
Name:HUMMEL, VENEE MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:VENEE
Middle Name:MARIE
Last Name:HUMMEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775 WEATHERLY DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-8942
Mailing Address - Country:US
Mailing Address - Phone:931-221-3850
Mailing Address - Fax:931-221-3852
Practice Address - Street 1:775 WEATHERLY DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043
Practice Address - Country:US
Practice Address - Phone:931-221-3850
Practice Address - Fax:931-221-3852
Is Sole Proprietor?:No
Enumeration Date:2015-11-05
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59278104100000X
TN71121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker