Provider Demographics
NPI:1972143212
Name:EMERSON, DANIELLE (LMSW)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:EMERSON
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 1:4710 PENNINGTON AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:CURTIS BAY
Mailing Address - State:MD
Mailing Address - Zip Code:21226-1405
Mailing Address - Country:US
Mailing Address - Phone:410-355-3285
Mailing Address - Fax:
Practice Address - Street 1:4710 PENNINGTON AVE FL 2
Practice Address - Street 2:
Practice Address - City:CURTIS BAY
Practice Address - State:MD
Practice Address - Zip Code:21226-1405
Practice Address - Country:US
Practice Address - Phone:410-355-3285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-15
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24666104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker