Jeffrey Michael Emlaw, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

P142067 Issued in NY

Practice address

200 Gateway Park Dr BLDG B
Syracuse, NY 13212-3760

Phone

(315) 491-7000

NPI assigned

Jul 23, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1255854170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CLAYTON MANOR DR APT 12",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885372",
            "telephone_number": "315-935-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GATEWAY PARK DR BLDG B",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132123760",
            "telephone_number": "315-491-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMLAW",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-23",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "P142067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.