Healthcare Provider Details

I. General information

NPI: 1255842563
Provider Name (Legal Business Name): EMMA LOUISE COWLEY LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2017
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date: 12/09/2021
Reactivation Date: 07/23/2026

III. Provider practice location address

250 DEWEY AVE
SPARTANBURG SC
29303-3009
US

IV. Provider business mailing address

250 DEWEY AVE
SPARTANBURG SC
29303-3009
US

V. Phone/Fax

Practice location:
  • Phone: 203-240-9665
  • Fax:
Mailing address:
  • Phone: 203-240-9665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: