MEDICARE: HELEN SOWARDS-EMMERD 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	1041C0700X	Clinical Social Worker	6801094133	MI
2	1041C0700X	Clinical Social Worker	149012965	IL

General Provider Information

NPI Number	:	1689838682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN SOWARDS-EMMERD LMSW

Provider Business Mailing Address
First Line	:	2575 SPRING ARBOR RD STE 300
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-3652
Country	:	US
Telephone Number	:	517-997-1451
Fax Number	:

Provider Business Practice Location Address
First Line	:	2575 SPRING ARBOR RD STE 300
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-3652
Country	:	US
Telephone Number	:	517-997-1451
Fax Number	:

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

Provider Enumeration Date	:	07/18/2008
Last Update Date	:	07/22/2024

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