Provider Demographics
NPI:1215079843
Name:PIRO, EMILY ROSE (LICSW)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:ROSE
Last Name:PIRO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:ROSE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:72B WOODBURY AVE
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-3204
Mailing Address - Country:US
Mailing Address - Phone:603-427-1177
Mailing Address - Fax:
Practice Address - Street 1:20 LADD ST STE 404
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4080
Practice Address - Country:US
Practice Address - Phone:603-427-1177
Practice Address - Fax:603-427-6555
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH942101YM0800X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
343961000OtherMANAGED HEALTH NETWORK
D2AN0L5QKCOtherWELLPOINT
NH30420939Medicaid
NH14Y001139NH01OtherANTHEM BLUE CROSS AND BLUE SHIELD
159019OtherVALUEOPTIONS
MO343961000OtherMAGELLAN PROVIDOR ID NUMB
ME046730OtherBLUE CROSS OF MAINE
2061746OtherCIGNA BEHAVIORAL HEALTH
7415375OtherAETNA