Emily Lang Pool, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0031074 SUPV Issued in OH

Practice address

118 Maple Ave.
Bellefontaine, OH 43311

Phone

(937) 599-1975

Fax

(937) 599-2769

NPI assigned

Feb 10, 2014

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

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": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1851715973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MAPLE AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111619",
            "telephone_number": "937-599-1975",
            "fax_number": "937-599-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MAPLE AVE.",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "43311",
            "telephone_number": "937-599-1975",
            "fax_number": "937-599-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOL",
        "first_name": "EMILY",
        "middle_name": "LANG",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0031074 SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyn Patusky, MSN, RN, FNP-C
• Amy Lynn Payne
• Jill Payne
• Peak Performance Holistic Health Center LLC
• Cady Perry, DC
• Brittanny Porter
• Allison Posekany, PHARMD, RPH
• Justin Randall Powell, LMT
• Lucas Pozenel
• Julia Quay

• Clinical Social Worker in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.