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NPI Code Detail

MEDICARE: EMMA ELLINGHAUS LMSW

MEDICARE:   EMMA  ELLINGHAUS  LMSW
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
1104100000XSocial Worker114532TX

General Provider Information

NPI Number : 1770266223
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA ELLINGHAUS LMSW
Provider Business Mailing Address
First Line : 6230 N BELT LINE RD STE 305
Second Line :
City : IRVING
State : TX
Zip : 75063-2657
Country : US
Telephone Number : 817-369-8214
Fax Number :
Provider Business Practice Location Address
First Line : 6230 N BELT LINE RD STE 305
Second Line :
City : IRVING
State : TX
Zip : 75063-2657
Country : US
Telephone Number : 817-369-8214
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2023
Last Update Date : 04/30/2026

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Directions to “ EMMA ELLINGHAUS LMSW” Practice Location

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