MEDICARE: EMILY MILLMAN

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	6801116537	MI
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1902581275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY MILLMAN

Provider Business Mailing Address
First Line	:	207 WAYNE AVE
Second Line	:
City	:	NARBERTH
State	:	PA
Zip	:	19072-1812
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	313 E HUDSON AVE # 1127
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-3711
Country	:	US
Telephone Number	:	872-262-0258
Fax Number	:

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

Provider Enumeration Date	:	06/15/2023
Last Update Date	:	12/02/2025

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Directions to “ EMILY MILLMAN ” Practice Location

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