MEDICARE: EMILY MURRAY LUDWIG MSW, 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	101YA0400X	Addiction (Substance Use Disorder) Counselor	CADC I # 06-11-39	OR
2	104100000X	Social Worker	CSWA # A1976	OR
3	1041C0700X	Clinical Social Worker	LW60681238	WA
4	1041C0700X	Clinical Social Worker	LC21353	ME
5	1041C0700X	Clinical Social Worker	LCSW # L4072	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851582456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY MURRAY LUDWIG MSW, LCSW

Provider Business Mailing Address
First Line	:	37 MELISSA DR
Second Line	:
City	:	YARMOUTH
State	:	ME
Zip	:	04096-7717
Country	:	US
Telephone Number	:	503-867-4588
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 SE ALDER ST STE 301
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97214-2400
Country	:	US
Telephone Number	:	503-446-2746
Fax Number	:

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

Provider Enumeration Date	:	08/07/2007
Last Update Date	:	09/30/2022

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