Prudence Emery, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR011622 Issued in NY

Practice address

347 5TH Ave
RM 1401
New York, NY 10016-5034

Phone

(212) 362-3017

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1629169917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 ROCKLAND ST",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115903411",
            "telephone_number": "516-621-4878",
            "fax_number": "516-292-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 5TH AVE",
            "address_2": "RM 1401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165034",
            "telephone_number": "212-362-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERY",
        "first_name": "PRUDENCE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR011622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0065850",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Emerson, BS, CASAC
• Roger Ira Emert, M.D.
• Mary D Emerton, LCSW
• Laura C Emery, FNP
• Megan C. Emery, RD
• Shavon Emery, CRPA
• Victoria G Emery, LMSW
• Melissa Emerzian, AGPCNP-BC
• Maritza Emestica
• Emett O McCaskill

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.