Provider Demographics
NPI:1740611102
Name:EMILY LOCKER
Entity Type:Organization
Organization Name:EMILY LOCKER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST, SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:KLEIN
Authorized Official - Last Name:LOCKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:202-302-6615
Mailing Address - Street 1:156 5TH AVE
Mailing Address - Street 2:SUITE 1107, OFFICE 2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-7002
Mailing Address - Country:US
Mailing Address - Phone:202-302-6615
Mailing Address - Fax:
Practice Address - Street 1:4 PARK AVE
Practice Address - Street 2:APARTMENT 5J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5339
Practice Address - Country:US
Practice Address - Phone:202-302-6615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-10
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0816231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty