Healthcare Provider Details

I. General information

NPI: 1700571577
Provider Name (Legal Business Name): EMILY E MESSICK LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2023
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 MAGNOLIA DR
SEAFORD DE
19973-7624
US

IV. Provider business mailing address

1111 MAGNOLIA DR
SEAFORD DE
19973-7624
US

V. Phone/Fax

Practice location:
  • Phone: 302-396-8949
  • Fax:
Mailing address:
  • Phone: 302-396-8949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0012924
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: