Individual provider Active NPI

Emerson Fang, LICSW

  • Clinical Social Worker
  • Brookline, MA
National Provider Identifier
1235866344
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
124 Harvard St
Brookline, MA 02446-6478
Phone
(508) 319-9598
Fax
(857) 335-9114
NPI assigned
Aug 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

124 Harvard St
Brookline, MA 02446-6478

Mailing address

124 Harvard St
Brookline, MA 02446-6478
Phone (508) 319-9598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230515002569 MA Practitioner - Clinical Social Worker 0042676108 Reassigns benefits to 1 organization
I20251014004209 NY Practitioner - Clinical Social Worker 0042676108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Professional Medical Concierge Services PLLCGroup PAC ID 0840614020, 75 clinicians
Clinical and Support Options, IncGroup PAC ID 6608835350, 103 clinicians

Practice addresses (Care Compare)

1785 Route 9
Halfmoon, NY 12065-2449
Phone (518) 238-6028

877 S St
Suite 200
Pittsfield, MA 01201-8243
Phone (413) 236-5656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100431NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Oasis Counseling, PLLC Clinical CurrentSince Aug 17, 2025 Accepting new patients
Clinical & Support Options, Inc CurrentSince Oct 1, 2024 Accepting new patients
Professional Medical Concierge Services, PLLC Clinical CurrentSince Sep 22, 2025 Accepting new patients

Locations

1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000

877 South St
Ste 200
Pittsfield, MA 01201
Phone (413) 269-5656

1785 Route 9
Halfmoon, NY 12065
Phone (518) 238-6028

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1235866344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 HARVARD ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024466478",
            "telephone_number": "508-319-9598",
            "fax_number": "857-335-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 HARVARD ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024466478",
            "telephone_number": "508-319-9598",
            "fax_number": "857-335-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANG",
        "first_name": "EMERSON",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-08",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.