# EMILIA ROSE MAYCOCK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1689396509
- **Gender:** F
- **Credential:** CMSW, LIMHP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 13140 | NE | — |
| 101YM0800X | Mental Health Counselor | 4040 | NE | — |
| 1041C0700X | Clinical Social Worker | 2501 | NE | Yes |
| 1041C0700X | Clinical Social Worker | 7771 | NE | Yes |
| 222Q00000X | Developmental Therapist | — | — | — |
| 225400000X | Rehabilitation Practitioner | — | — | — |
| 225800000X | Recreation Therapist | — | — | — |
| 225C00000X | Rehabilitation Counselor | — | — | — |

## Other

- **Enumeration date:** 09/16/2022
- **Last updated:** 06/23/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10027541904 | — | NE |
| 05 | — | 10028192902 | — | NE |
