MEDICARE: EMILY KATE MINSER BRISKIE 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
1	1041C0700X	Clinical Social Worker	C008606	NC

General Provider Information

NPI Number	:	1669278297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY KATE MINSER BRISKIE LCSW

Provider Business Mailing Address
First Line	:	3420 GREENVILLE LOOP RD
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-9380
Country	:	US
Telephone Number	:	919-740-7445
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 MARKET ST
Second Line	:
City	:	LOUISBURG
State	:	NC
Zip	:	27549-2523
Country	:	US
Telephone Number	:	919-729-0806
Fax Number	:

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

Provider Enumeration Date	:	02/24/2025
Last Update Date	:	02/27/2025

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