Provider Demographics
NPI:1942315890
Name:SEALES, EMILY MAJOR (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:MAJOR
Last Name:SEALES
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 20TH AVE S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-2761
Mailing Address - Country:US
Mailing Address - Phone:813-610-5922
Mailing Address - Fax:813-631-7128
Practice Address - Street 1:13000 BRUCE B DOWNS BLVD
Practice Address - Street 2:116A
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-4745
Practice Address - Country:US
Practice Address - Phone:813-610-5922
Practice Address - Fax:813-631-7128
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0051941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical