Individual
JENNIFER LYNN EMMERICH
Active
Individual
JENNIFER LYNN EMMERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
15771
AZ
1041C0700X
Clinical Social Worker
Primary
6801084037
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9354452
PRIVATE HEALTHCARE SYSTEM
MA
01
—
BCBS
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/14/2006
Last updated
03/17/2017
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