Provider Demographics
NPI:1982242053
Name:KAY, EMILIE A (LCSW)
Entity Type:Individual
Prefix:
First Name:EMILIE
Middle Name:A
Last Name:KAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2608 CREST LN APT 101
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-1461
Mailing Address - Country:US
Mailing Address - Phone:608-732-7279
Mailing Address - Fax:
Practice Address - Street 1:2608 CREST LN APT 101
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-1461
Practice Address - Country:US
Practice Address - Phone:608-732-7279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-19
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI131113101Y00000X
WI9772-123101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor