Provider Demographics
NPI:1346825999
Name:EMERY, BELINDA JEAN (LSW-C)
Entity Type:Individual
Prefix:MS
First Name:BELINDA
Middle Name:JEAN
Last Name:EMERY
Suffix:
Gender:F
Credentials:LSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 GRAY RD APT 3
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-4873
Mailing Address - Country:US
Mailing Address - Phone:207-440-6948
Mailing Address - Fax:207-786-8805
Practice Address - Street 1:57 BIRCH ST STE 204
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-7415
Practice Address - Country:US
Practice Address - Phone:207-440-6848
Practice Address - Fax:207-786-8805
Is Sole Proprietor?:No
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker