Individual
EMILY MARIE ROXBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2975 DETOUR RD, GREAT CACAPON, WV 25422-3105
(610) 750-0326
Mailing address
2975 DETOUR RD, GREAT CACAPON, WV 25422-3105
(610) 750-0326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904019956
VA
1041C0700X
Clinical Social Worker
Primary
CW018965
PA
1041C0700X
Clinical Social Worker
DP00946299
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790020782
—
PA
Enumeration date
12/03/2012
Last updated
03/20/2026
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