Healthcare Provider Details

I. General information

NPI: 1548050586
Provider Name (Legal Business Name): EMILY HANDY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

641 S ST NW STE 200
WASHINGTON DC
20001-5197
US

IV. Provider business mailing address

3427A S STAFFORD ST
ARLINGTON VA
22206-1905
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-2123
  • Fax:
Mailing address:
  • Phone: 571-235-2881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number904013852
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC200001888
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: