Provider Demographics
NPI:1396395893
Name:HUSS, EMILY (LMSW)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:HUSS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:CLAMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1957 NE 126TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALLEMAN
Mailing Address - State:IA
Mailing Address - Zip Code:50007-9705
Mailing Address - Country:US
Mailing Address - Phone:515-520-7407
Mailing Address - Fax:
Practice Address - Street 1:614 BILLY SUNDAY RD STE 100
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-8048
Practice Address - Country:US
Practice Address - Phone:515-337-1764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0775861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty