Emma Phillips Myren, APSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9765 Issued in WI

Practice address

710 Frederick St
Sun Prairie, WI 53590-2824

Phone

(608) 389-0330

NPI assigned

Jan 1, 2020

Last updated

Feb 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Emma Kathleen Phillips Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oak Tree Counseling

  • Clinical Social Worker
  • Sun Prairie, WI
  • NPI 1114643863
  NPD Authorized official
• Synergos Counseling Inc

  dba Synergos Counseling & Wellness

  • Multi-Specialty Clinic/Center
  • Madison, WI
  • NPI 1124545199

  Social Worker

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1053950592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 FREDERICK ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902824",
            "telephone_number": "608-215-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 FREDERICK ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902824",
            "telephone_number": "608-389-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYREN",
        "first_name": "EMMA",
        "middle_name": "PHILLIPS",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149024470",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "PHILLIPS",
            "middle_name": "KATHLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carol Jan Morris, FNP-C
• Rosa Morrow, LMFT
• Gregory H Motl, MD
• Lauren A Murphy, AA-C
• Myofunctional Orthodontist LLC (Pediatric Orthodontics of Sun Prairie)
• Amy Nelson
• Meredith Nelson, PHARM. D, RPH
• Rachel Janelle Newinski, MD
• Michele L Newquist, MD
• Ruben Ngnitewe Massa a, MD

• Clinical Social Worker in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.