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NPI Code Detail

MEDICARE: EMMA S EVANS CSW

MEDICARE: EMMA S EVANS CSW
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
1101Y00000XCounselorNY
2104100000XSocial Worker
31041C0700XClinical Social WorkerCSW.09932486CO

General Provider Information

NPI Number : 1750976262
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA S EVANS CSW
Provider Business Mailing Address
First Line : PO BOX 110429
Second Line :
City : AURORA
State : CO
Zip : 80042-0429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 109 E 115TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10029-1186
Country : US
Telephone Number : 347-853-0712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2021
Last Update Date : 03/16/2026

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Directions to “ EMMA S EVANS CSW” Practice Location

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