Provider Demographics
NPI:1598297160
Name:KUPFERMAN, EMMA (MSW LCSW LICSW)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:KUPFERMAN
Suffix:
Gender:F
Credentials:MSW LCSW LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 S DURHAM ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-2606
Mailing Address - Country:US
Mailing Address - Phone:202-498-9368
Mailing Address - Fax:
Practice Address - Street 1:1337 PENNSYLVANIA AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3094
Practice Address - Country:US
Practice Address - Phone:202-321-9715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-01
Last Update Date:2017-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500787861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical