Provider Demographics
NPI:1265610877
Name:PIETTE, EMILY KRISTEN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:KRISTEN
Last Name:PIETTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:KRISTEN
Other - Last Name:WOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:836 E. 65TH STREET
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4491
Mailing Address - Country:US
Mailing Address - Phone:912-354-2254
Mailing Address - Fax:912-354-2259
Practice Address - Street 1:836 E. 65TH STREET
Practice Address - Street 2:SUITE 2
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4491
Practice Address - Country:US
Practice Address - Phone:912-354-2254
Practice Address - Fax:912-354-2259
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker