Provider Demographics
NPI:1619647526
Name:BROWNFIELD, EMILY NORENE
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:NORENE
Last Name:BROWNFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:NORENE
Other - Last Name:SALAMONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:N64W24050 MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:WI
Mailing Address - Zip Code:53089-3000
Mailing Address - Country:US
Mailing Address - Phone:262-806-8527
Mailing Address - Fax:
Practice Address - Street 1:N64W24050 MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:WI
Practice Address - Zip Code:53089-3000
Practice Address - Country:US
Practice Address - Phone:262-806-8527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-14
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI116441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA