=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609254903
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EMILY MARGARET WESCHLER LCSW-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/07/2015
-----------------------------------------------------
Last Update Date | 09/23/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1997 ANNAPOLIS EXCHANGE PKWY STE 300
-----------------------------------------------------
City | ANNAPOLIS
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21401-3273
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-635-1128
-----------------------------------------------------
Fax | 410-630-8087
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1997 ANNAPOLIS EXCHANGE PKWY STE 300
-----------------------------------------------------
City | ANNAPOLIS
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21401-3273
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-635-1128
-----------------------------------------------------
Fax | 410-630-8087
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 17464
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------