Maggie Embick LCSW LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MAGGIE EMBICK LCSW LLC

Practice address

412A Maluniu Ave
Kailua, HI 96734-5815

Phone

(312) 883-3996

NPI assigned

Aug 28, 2023

Last updated

Aug 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Margaret Embick, LCSW, RDTNPI 1073145280

Title

Owner, Clinical Therapist

Phone

(312) 883-3996

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Margaret Embick, LCSW, RDT

  • Clinical Social Worker
  • Kailua, HI
  • NPI 1073145280
  NPD Authorized official

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1235914540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412A MALUNIU AVE",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967345815",
            "telephone_number": "312-883-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412A MALUNIU AVE",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967345815",
            "telephone_number": "312-883-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGGIE EMBICK LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-26",
        "status": "A",
        "authorized_official_last_name": "EMBICK",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER, CLINICAL THERAPIST",
        "authorized_official_telephone_number": "312-883-3996",
        "authorized_official_credential": "LCSW, RDT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Kailua, HI
• Providers in Kailua, HI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.