MEDICARE: EMMA ROSEMARIE BURNETT LMSW

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
1	104100000X	Social Worker	128494	NY

General Provider Information

NPI Number	:	1215890652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA ROSEMARIE BURNETT LMSW

Provider Business Mailing Address
First Line	:	360 47TH ST APT 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-1400
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	57 W 57TH ST STE 1101
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-2822
Country	:	US
Telephone Number	:	866-525-2766
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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