Healthcare Provider Details

I. General information

NPI: 1235848896
Provider Name (Legal Business Name): EMMA FARREN MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/22/2022
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 S MAIN ST STE 215
FALL RIVER MA
02721-5375
US

IV. Provider business mailing address

170 KING JAMES BLVD
TAUNTON MA
02780-2863
US

V. Phone/Fax

Practice location:
  • Phone: 774-214-2156
  • Fax:
Mailing address:
  • Phone: 508-404-9017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLICSW1140887
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: