MEDICARE: MS. EMILY FIRMAN MSW, MPH, 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	SC 60123148	WA
2	1041C0700X	Clinical Social Worker	LW60252870	WA

General Provider Information

NPI Number	:	1861630949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EMILY FIRMAN MSW, MPH, LICSW

Provider Business Mailing Address
First Line	:	PO BOX 359930
Second Line	:	325 9TH AVE
City	:	SEATTLE
State	:	WA
Zip	:	98195-9930
Country	:	US
Telephone Number	:	206-744-5150
Fax Number	:	206-744-5109

Provider Business Practice Location Address
First Line	:	5608 17TH AVE NW STE 1701
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-5232
Country	:	US
Telephone Number	:	206-705-3414
Fax Number	:

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

Provider Enumeration Date	:	01/28/2009
Last Update Date	:	08/21/2023

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