Provider Demographics
NPI:1871045419
Name:CURTIS, EMILY ANNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:ANNE
Last Name:CURTIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:ANNE
Other - Last Name:SHATAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:18 BREWSTER LN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-4002
Mailing Address - Country:US
Mailing Address - Phone:518-487-0026
Mailing Address - Fax:
Practice Address - Street 1:975 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-3001
Practice Address - Country:US
Practice Address - Phone:585-256-3430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-31
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0921991041C0700X
NY095421104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical