Provider Demographics
NPI:1316253826
Name:DE QUATTRO, EMILY HILL (LISW-CP, MSW)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:HILL
Last Name:DE QUATTRO
Suffix:
Gender:F
Credentials:LISW-CP, MSW
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:573 TRAVELERS BLVD
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-8220
Mailing Address - Country:US
Mailing Address - Phone:843-226-6019
Mailing Address - Fax:
Practice Address - Street 1:2680 ELMS PLANTATION BLVD STE 101
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-7101
Practice Address - Country:US
Practice Address - Phone:843-890-0462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-20
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
SC106691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical