Healthcare Provider Details

I. General information

NPI: 1104732841
Provider Name (Legal Business Name): EMILY WEEKS LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 S FRONT ST STE 7
NEW BERN NC
28560-2134
US

IV. Provider business mailing address

3537 M L KING JR BLVD # 215
NEW BERN NC
28562-2209
US

V. Phone/Fax

Practice location:
  • Phone: 252-505-8105
  • Fax: 252-214-6278
Mailing address:
  • Phone: 252-505-8150
  • Fax: 252-214-6278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP020955
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: