Basic Information
| Provider Information | |||||||||
| NPI: | 1013165919 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | EMERSON | ||||||||
| FirstName: | MARTA | ||||||||
| MiddleName: | ELIZABETH | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LMSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 118 BLUE HILL RD | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782294202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2108871505 | ||||||||
| FaxNumber: | 2109493326 | ||||||||
| Practice Location | |||||||||
| Address1: | 118 BLUEHILL RD | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782294202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2108871505 | ||||||||
| FaxNumber: | 2109493326 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/04/2008 | ||||||||
| LastUpdateDate: | 09/04/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 33740 | TX | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.