Healthcare Provider Details

I. General information

NPI: 1033035928
Provider Name (Legal Business Name): EMILY SROKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26315 SCOTIA RD
HUNTINGTON WOODS MI
48070-1140
US

IV. Provider business mailing address

3530 ELMHURST AVE
ROYAL OAK MI
48073-2344
US

V. Phone/Fax

Practice location:
  • Phone: 248-837-8647
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number6801116707
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: