Emily Evans, LCSW
Social Worker, Clinical in Smithtown, NY. Individual provider (NPI-1).
NPI number1164064564
StatusActive
Last updated in NPPESSep 20, 2023
Details
- NPI
- 1164064564
- Entity type
- Individual (NPI-1)
- Name
- Emily Evans
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2019
- Certification date
- Sep 20, 2023
- Last updated
- Sep 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 095721 | NY | Yes |
| 104100000X | Social Worker | – | – |
Practice location
55 Morewood DrSmithtown, NY 11787-2343
Phone 631-355-9561
Mailing address
55 Morewood DrSmithtown, NY 11787-2343
Phone 631-355-9561
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