Kathleen Hershman, LCSW
Individual provider Active NPI Social Worker · Munster, IN
NPI 1295839694 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295839694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 34001229A (IN)
- Practice address
- 32 Ridge Rd
Munster, IN 46321 - Phone
- (219) 836-8806
- Fax
- (219) 836-8885
- NPI assigned
- Sep 8, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34001229A | IN | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 34001229A | IN | Yes |
Addresses
Primary practice location
32 Ridge Rd
Munster, IN 46321
Mailing address
8 Morgan Blvd
Valparaiso, IL 46585
Phone (219) 464-9495
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4538534 | Other | AETNA | |
| 281268 | Other | VALUE OPTIONS | |
| 000000201070 | Other | BLUE CROSS BLUE SHIELD |
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.