MEDICARE: EMMA MURPHY LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	30168	MN

General Provider Information

NPI Number	:	1093585176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA MURPHY LICSW

Provider Business Mailing Address
First Line	:	620 BUNKER DR
Second Line	:
City	:	NORTHFIELD
State	:	MN
Zip	:	55057-3806
Country	:	US
Telephone Number	:	612-730-0170
Fax Number	:

Provider Business Practice Location Address
First Line	:	731 7TH ST E STE 300
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55106-5048
Country	:	US
Telephone Number	:	651-300-0107
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2024
Last Update Date	:	01/08/2024

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Directions to “ EMMA MURPHY LICSW” Practice Location

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