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NPI Code Detail

MEDICARE: ANGELYNN MARIE HERMES LCSW

MEDICARE: ANGELYNN MARIE HERMES LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker19681AZ
21041C0700XClinical Social Worker1140818MA
31041C0700XClinical Social Worker88997CA

General Provider Information

NPI Number : 1346640026
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELYNN MARIE HERMES LCSW
Provider Business Mailing Address
First Line : 4764 E SUNRISE DR UNIT 430
Second Line :
City : TUCSON
State : AZ
Zip : 85718-4535
Country : US
Telephone Number : 520-235-6656
Fax Number :
Provider Business Practice Location Address
First Line : 4764 E SUNRISE DR UNIT 430
Second Line :
City : TUCSON
State : AZ
Zip : 85718-4535
Country : US
Telephone Number : 520-235-6656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2014
Last Update Date : 12/09/2025

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