Individual provider Active NPI

Emily Prusak, MSW, LSW

  • Social Worker
  • Columbus, OH
National Provider Identifier
1659073773
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
8001 Ravines Edge CT
Columbus, OH 43235-5423
Phone
(614) 441-5136
NPI assigned
Mar 21, 2023
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X OH Primary

Addresses

Primary practice location

8001 Ravines Edge CT
Columbus, OH 43235-5423

Mailing address

2831 Kensington PL W
Columbus, OH 43202-2370
Phone (614) 441-5136

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1659073773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 KENSINGTON PL W",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432022370",
            "telephone_number": "614-441-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 RAVINES EDGE CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355423",
            "telephone_number": "614-441-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUSAK",
        "first_name": "EMILY",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.