Individual
EMILY MYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
097.0125266
VT
1041C0700X
Clinical Social Worker
222301
MA
1041C0700X
Clinical Social Worker
Primary
ISW03356
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042174657
—
MA
01
—
1851444616
PRIVATE INSURANCE
MA
Enumeration date
11/20/2017
Last updated
10/01/2021
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