Provider Demographics
NPI:1093170201
Name:EMERSON, BELINDA A (LCSW)
Entity type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:A
Last Name:EMERSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:BELINDA
Other - Middle Name:
Other - Last Name:EMERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:21 E STATE ST STE 5
Mailing Address - Street 2:
Mailing Address - City:WELLSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14895-1388
Mailing Address - Country:US
Mailing Address - Phone:585-648-3535
Mailing Address - Fax:585-902-2734
Practice Address - Street 1:21 E STATE ST STE 5
Practice Address - Street 2:
Practice Address - City:WELLSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14895-1388
Practice Address - Country:US
Practice Address - Phone:585-648-3535
Practice Address - Fax:585-902-2734
Is Sole Proprietor?:No
Enumeration Date:2015-12-15
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY095845104100000X
NY0946281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker