Provider Demographics
NPI:1336728419
Name:EMERSON, SARAH BRADY (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:BRADY
Last Name:EMERSON
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 SHORELINE RD
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-8105
Mailing Address - Country:US
Mailing Address - Phone:030-246-3757
Mailing Address - Fax:
Practice Address - Street 1:318 S PITNEY RD
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9628
Practice Address - Country:US
Practice Address - Phone:609-383-8668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-06
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ12110061041S0200X
NJ44SL06627000104100000X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool