Provider Demographics
NPI:1629231063
Name:DUNLAP, EMILY T (MSW)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:T
Last Name:DUNLAP
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 RIVERSIDE DR
Mailing Address - Street 2:15A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6553
Mailing Address - Country:US
Mailing Address - Phone:212-724-4394
Mailing Address - Fax:
Practice Address - Street 1:54 RIVERSIDE DR
Practice Address - Street 2:15A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6553
Practice Address - Country:US
Practice Address - Phone:212-724-4394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0742241LCSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical