Provider Demographics
NPI:1811223613
Name:NARANJO, EMILY K (LCSW)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:K
Last Name:NARANJO
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 1:101 E TOWN PL STE 110C
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32092-2726
Mailing Address - Country:US
Mailing Address - Phone:239-800-9136
Mailing Address - Fax:239-266-2001
Practice Address - Street 1:101 E TOWN PL STE 110C
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32092-2726
Practice Address - Country:US
Practice Address - Phone:239-800-9136
Practice Address - Fax:239-266-2001
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-29
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW96101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical