Provider Demographics
NPI:1568074847
Name:O'BRIEN, EMILY M (LCSW)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:M
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 WABAN PARK APT 3
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-1409
Mailing Address - Country:US
Mailing Address - Phone:585-490-2236
Mailing Address - Fax:
Practice Address - Street 1:400 HUNNEWELL ST STE 6R
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-1360
Practice Address - Country:US
Practice Address - Phone:781-400-2641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2259741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical