Provider Demographics
NPI:1174685952
Name:THOMAS, EMILY ELIZABETH STEWART (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:ELIZABETH STEWART
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:EMILY
Other - Middle Name:ELIZABETH
Other - Last Name:STEWART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:1710 NYS ROUTE 13
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045
Mailing Address - Country:US
Mailing Address - Phone:607-758-5197
Mailing Address - Fax:
Practice Address - Street 1:1710 NYS ROUTE 13
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045
Practice Address - Country:US
Practice Address - Phone:607-758-5197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker