Provider Demographics
NPI:1396576807
Name:HORTON, EMILY FRANCES (LMSW)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:FRANCES
Last Name:HORTON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WORTHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:WYNANTSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12198-8142
Mailing Address - Country:US
Mailing Address - Phone:518-469-3347
Mailing Address - Fax:
Practice Address - Street 1:440 FURROWS RD
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:NY
Practice Address - Zip Code:11741-2700
Practice Address - Country:US
Practice Address - Phone:631-645-4262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY114175-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker