Provider Demographics
NPI:1669851838
Name:ARTH, EMILY MAE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:MAE
Last Name:ARTH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3702 W BROADWAY APT 2107
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-0242
Mailing Address - Country:US
Mailing Address - Phone:417-372-2921
Mailing Address - Fax:
Practice Address - Street 1:3702 W BROADWAY APT 2107
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-0242
Practice Address - Country:US
Practice Address - Phone:417-372-2921
Practice Address - Fax:573-603-3116
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-21
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014004401104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker