Emanuel Aaron, LICSW,LADCI, CADCII,
Individual provider Active NPI Clinical Social Worker · Orange, MA
NPI 1134475817 · NPPES record last updated Aug 5, 2020
Key facts
- NPI
- 1134475817
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 118791 (MA)
- Practice address
- 128 S Main St
Orange, MA 01364-1729 - Phone
- (201) 253-8012
- NPI assigned
- Jul 31, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160309001300 | MA | Practitioner - Clinical Social Worker | 0244536720 | Practice locations: Orange, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1642 AD | MA | MD | Addiction (Substance Use Disorder) Counselor |
| 37LC00160700 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 44SL05623300 | NJ | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00160700 | NJ | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1642 AD | MA | |
| Social Worker | 104100000X | 44SL05623300 | NJ | |
| Clinical Social Worker | 1041C0700X | 118791 | MA | Yes |
Addresses
Primary practice location
128 S Main St
Orange, MA 01364-1729
Mailing address
128 S Main St
Orange, MA 01364-1729
Phone (201) 253-8012
Other providers in Orange, MA
- Bashaer Abosalem
- Agape Health Care LLC
- Rebecca Ann Anderholm
- Grace A Archer
- Ashley Thiboutot, LMHC,LLC
All providers in Orange, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.