Provider Demographics
NPI:1780567313
Name:GARGAN-WARK, EMMA GERALDINE (LCSWA)
Entity type:Individual
Prefix:MRS
First Name:EMMA
Middle Name:GERALDINE
Last Name:GARGAN-WARK
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10150 MALLARD CREEK RD STE 509
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-9708
Mailing Address - Country:US
Mailing Address - Phone:980-308-4500
Mailing Address - Fax:980-458-6037
Practice Address - Street 1:5821 FAIRVIEW RD STE 101
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-5601
Practice Address - Country:US
Practice Address - Phone:980-308-4500
Practice Address - Fax:980-458-6037
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0222071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical