Provider Demographics
NPI:1245930692
Name:CALIMANO, EMELLY NICOLE
Entity type:Individual
Prefix:
First Name:EMELLY
Middle Name:NICOLE
Last Name:CALIMANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1028 UNDERWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-8924
Mailing Address - Country:US
Mailing Address - Phone:786-553-6556
Mailing Address - Fax:
Practice Address - Street 1:1028 UNDERWOOD AVE
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8924
Practice Address - Country:US
Practice Address - Phone:786-553-6556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker