Healthcare Provider Details

I. General information

NPI: 1679496582
Provider Name (Legal Business Name): EMMA CAULK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 CIVIC AVE
SALISBURY MD
21804-5230
US

IV. Provider business mailing address

308 CIVIC AVE
SALISBURY MD
21804-5230
US

V. Phone/Fax

Practice location:
  • Phone: 410-642-4011
  • Fax: 410-630-1654
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number33274
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: