Provider Demographics
NPI:1033681648
Name:BOONE, EMILY PAPPAS (LICSW)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:PAPPAS
Last Name:BOONE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 BARRY PL
Mailing Address - Street 2:
Mailing Address - City:SUFFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06078-2250
Mailing Address - Country:US
Mailing Address - Phone:606-668-7026
Mailing Address - Fax:
Practice Address - Street 1:65 BARRY PL
Practice Address - Street 2:
Practice Address - City:SUFFIELD
Practice Address - State:CT
Practice Address - Zip Code:06078-2250
Practice Address - Country:US
Practice Address - Phone:606-668-7026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-20
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool