Provider Demographics
NPI:1043586456
Name:WORTH, EMMA R (LICSW)
Entity Type:Individual
Prefix:MS
First Name:EMMA
Middle Name:R
Last Name:WORTH
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:RIKA
Other - Last Name:HELLMAN-MAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:49 PALMER ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-1118
Mailing Address - Country:US
Mailing Address - Phone:617-429-7207
Mailing Address - Fax:617-649-1203
Practice Address - Street 1:236 CONCORD AVE
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1337
Practice Address - Country:US
Practice Address - Phone:857-285-2297
Practice Address - Fax:617-649-1203
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1205891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical