Provider Demographics
NPI:1578004032
Name:WEST, EMILY (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1724 20TH ST NW STE 302
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-1354
Mailing Address - Country:US
Mailing Address - Phone:202-340-9550
Mailing Address - Fax:
Practice Address - Street 1:1724 20TH ST NW STE 302
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-1354
Practice Address - Country:US
Practice Address - Phone:202-340-9550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-17
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500821021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical