Provider Demographics
NPI:1194567487
Name:PRENTICE, EMILY FRANCES (LMSW)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:FRANCES
Last Name:PRENTICE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14110 GEORGE RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78231-1971
Mailing Address - Country:US
Mailing Address - Phone:210-827-0362
Mailing Address - Fax:
Practice Address - Street 1:140 HEIMER RD STE 400
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-5032
Practice Address - Country:US
Practice Address - Phone:210-580-4323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111265104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker