Provider Demographics
NPI:1053091553
Name:ANGELA L. NEMECEK-HAAG, LCSW
Entity type:Organization
Organization Name:ANGELA L. NEMECEK-HAAG, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:L
Authorized Official - Last Name:NEMECEK-HAAG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:434-466-7417
Mailing Address - Street 1:717 WATSON AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-3932
Mailing Address - Country:US
Mailing Address - Phone:434-466-7417
Mailing Address - Fax:434-465-6644
Practice Address - Street 1:515 PARK ST # A
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-4759
Practice Address - Country:US
Practice Address - Phone:434-466-7417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health