Provider Demographics
NPI:1528265758
Name:EMILIANI, JONATHAN JAMES (LMSW)
Entity type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:JAMES
Last Name:EMILIANI
Suffix:
Gender:M
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:SOUTHERN ARIZONA VA HEALTH CARE SYSTEM
Mailing Address - Street 2:3601 S 6TH AVENUE
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85723-0001
Mailing Address - Country:US
Mailing Address - Phone:520-792-1450
Mailing Address - Fax:
Practice Address - Street 1:SOUTHERN ARIZONA VA HEALTH CARE SYSTEM
Practice Address - Street 2:3601 S 6TH AVENUE
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85723-0001
Practice Address - Country:US
Practice Address - Phone:520-792-1450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker