Provider Demographics
NPI:1700571577
Name:MESSICK, EMILY E (LMSW)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:E
Last Name:MESSICK
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 1:1111 MAGNOLIA DR
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-7624
Mailing Address - Country:US
Mailing Address - Phone:302-396-8949
Mailing Address - Fax:
Practice Address - Street 1:1111 MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-7624
Practice Address - Country:US
Practice Address - Phone:302-396-8949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ3-0010520104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker