Provider Demographics
NPI:1376150169
Name:CRAGER, EMILY KRISTINE
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:KRISTINE
Last Name:CRAGER
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 1:801 GOODALE DR
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-0709
Mailing Address - Country:US
Mailing Address - Phone:574-910-2320
Mailing Address - Fax:
Practice Address - Street 1:777 N CRUSEY ST STE B108
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-7101
Practice Address - Country:US
Practice Address - Phone:907-414-9554
Practice Address - Fax:907-308-6744
Is Sole Proprietor?:No
Enumeration Date:2020-09-25
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW0119981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical