Healthcare Provider Details

I. General information

NPI: 1891043915
Provider Name (Legal Business Name): ANTHONY PAUL HEMMERT LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2012
Last Update Date: 04/30/2020
Certification Date: 04/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1993 ERRECART BLVD
ELKO NV
89801-8334
US

IV. Provider business mailing address

1993 ERRECART BLVD
ELKO NV
89801-8334
US

V. Phone/Fax

Practice location:
  • Phone: 775-753-1049
  • Fax: 775-777-8494
Mailing address:
  • Phone: 775-753-1049
  • Fax: 775-777-8494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8696-C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: