MEDICARE: EMILY MEZNAR LCSW

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	C015836	NC

General Provider Information

NPI Number	:	1619589371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY MEZNAR LCSW

Provider Business Mailing Address
First Line	:	2117 CHARLES ST
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27707-2907
Country	:	US
Telephone Number	:	919-279-3432
Fax Number	:

Provider Business Practice Location Address
First Line	:	3622 LYCKAN PKWY
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27707-2564
Country	:	US
Telephone Number	:	919-205-2357
Fax Number	:

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

Provider Enumeration Date	:	08/23/2020
Last Update Date	:	12/16/2025

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