Provider Demographics
NPI:1437698149
Name:EMILY KROHN LCSW PLLC
Entity Type:Organization
Organization Name:EMILY KROHN LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:KROHN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWR
Authorized Official - Phone:585-730-2043
Mailing Address - Street 1:1815 CLINTON AVE S STE 630
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-5723
Mailing Address - Country:US
Mailing Address - Phone:585-730-2043
Mailing Address - Fax:585-256-0707
Practice Address - Street 1:1815 CLINTON AVE S STE 630
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-5723
Practice Address - Country:US
Practice Address - Phone:585-730-2043
Practice Address - Fax:585-256-0707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty