Provider Demographics
NPI:1659965283
Name:DYBOWSKI, EMILY (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:DYBOWSKI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:SKOK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:1950 S. ROCHESTER RD. #1089
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307
Mailing Address - Country:US
Mailing Address - Phone:248-672-8174
Mailing Address - Fax:
Practice Address - Street 1:1950 S. ROCHESTER RD. #1089
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307
Practice Address - Country:US
Practice Address - Phone:248-672-8174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-24
Last Update Date:2023-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010913521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical