Basic Information
Provider Information
NPI: 1073805792
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHERMERHORN
FirstName: EMILY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 52 DAY ST APT 5
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941104940
CountryCode: US
TelephoneNumber: 4157341173
FaxNumber:  
Practice Location
Address1: 2686 SPRING ST
Address2:  
City: REDWOOD CITY
State: CA
PostalCode: 940633522
CountryCode: US
TelephoneNumber: 6503683345
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/12/2011
LastUpdateDate: 05/12/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000X29548CAY Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


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