Provider Demographics
NPI:1225293897
Name:WILLINGHAM, EMA EMANUEL (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:EMA
Middle Name:EMANUEL
Last Name:WILLINGHAM
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 EASTOWNE DR
Mailing Address - Street 2:300-A
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2214
Mailing Address - Country:US
Mailing Address - Phone:919-493-4815
Mailing Address - Fax:
Practice Address - Street 1:727 EASTOWNE DR
Practice Address - Street 2:300-A
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2214
Practice Address - Country:US
Practice Address - Phone:919-493-4815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC000242174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC60238OtherBCBS