MEDICARE: EMILY MAJOR SEALES 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	1041C0700X	Clinical Social Worker	C005194	NC
2	1041C0700X	Clinical Social Worker	61441	TX

General Provider Information

NPI Number	:	1942315890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY MAJOR SEALES MSW, LCSW

Provider Business Mailing Address
First Line	:	231 20TH AVE S
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33705-2761
Country	:	US
Telephone Number	:	813-610-5922
Fax Number	:	813-631-7128

Provider Business Practice Location Address
First Line	:	3810 MEDICAL PKWY STE 119
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78756-4014
Country	:	US
Telephone Number	:	512-348-8992
Fax Number	:

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

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	05/22/2025

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