Provider Demographics
NPI:1518346055
Name:RESNIK, EMILY (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:RESNIK
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 WIRTZ WAY
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:OH
Mailing Address - Zip Code:45215-2769
Mailing Address - Country:US
Mailing Address - Phone:703-859-3410
Mailing Address - Fax:
Practice Address - Street 1:508 WIRTZ WAY
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:OH
Practice Address - Zip Code:45215-2769
Practice Address - Country:US
Practice Address - Phone:703-859-3410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-28
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS. 14403871041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool