Provider Demographics
NPI:1356897599
Name:PERKINS, EMORY LEWIS (MSW,DSW,LCSW,LMFT)
Entity type:Individual
Prefix:DR
First Name:EMORY
Middle Name:LEWIS
Last Name:PERKINS
Suffix:
Gender:M
Credentials:MSW,DSW,LCSW,LMFT
Other - Prefix:DR
Other - First Name:EMORY
Other - Middle Name:LEWIS
Other - Last Name:PERKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW,DSW,LCSWLMFT
Mailing Address - Street 1:1301 PENNSYLVANIA AVE SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-3027
Mailing Address - Country:US
Mailing Address - Phone:202-548-7308
Mailing Address - Fax:
Practice Address - Street 1:1301 PENNSYLVANIA AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3027
Practice Address - Country:US
Practice Address - Phone:202-548-7308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLMFT000033106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist