Active NPI
Mary E Emerson, LCSW
- Clinical Social Worker
- Cary, NC
National Provider Identifier
1366695306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34005782A
- Practice address
- 160 NE Maynard Rd
Suite 200
Cary, NC 27513-9670 - Phone
- (919) 466-7540
- Fax
- (919) 466-7543
- NPI assigned
- Nov 3, 2008
- Last updated
- Sep 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33005490A | IN | |
| Clinical Social Worker | 1041C0700X | 34005782A | IN | Primary |
Addresses
Primary practice location
160 NE Maynard Rd
Suite 200
Cary, NC 27513-9670
Mailing address
160 NE Maynard Rd
Suite 200
Cary, NC 27513-9670
Phone (919) 466-7540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33005490A | IN | MD | Social Worker |
| 34005782A | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253491200000",
"number": "1366695306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 NE MAYNARD RD",
"address_2": "SUITE 200",
"city": "CARY",
"state": "NC",
"postal_code": "275139670",
"telephone_number": "919-466-7540",
"fax_number": "919-466-7543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 NE MAYNARD RD",
"address_2": "SUITE 200",
"city": "CARY",
"state": "NC",
"postal_code": "275139670",
"telephone_number": "919-466-7540",
"fax_number": "919-466-7543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERSON",
"first_name": "MARY",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-03",
"last_updated": "2009-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33005490A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34005782A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.