Healthcare Provider Details

I. General information

NPI: 1174205348
Provider Name (Legal Business Name): EMILY NAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2023
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258 BROAD ST
HOUSTON DE
19954-2015
US

IV. Provider business mailing address

258 BROAD ST
HOUSTON DE
19954-2015
US

V. Phone/Fax

Practice location:
  • Phone: 302-535-4135
  • Fax:
Mailing address:
  • Phone: 302-535-4135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0012399
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: