Active NPIIndividual providerSole proprietor

Emily D Brassard, LCSW

Social Worker, Clinical in Mount Laurel, New Jersey

NPI Number1265009807
Practice location
1120 Route 72, Suite 300, Mount Laurel, NJ 08054-0805
Fax
856-861-1364
Last updated
June 10, 2021

Emily D Brassard is a Social Worker, Clinical based in Mount Laurel, NJ. Emily D Brassard practices in Mount Laurel, NJ and has the professional credentials of LCSW. The NPI Number for Emily D Brassard is 1265009807 and holds a License No. 089691-01 (NY). The current practice location address for Emily D Brassard is 1120 Route 72, Suite 300, Mount Laurel, NJ 08054-0805 and can be reached out via phone at 856-372-0994 and via fax at 856-861-1364.

Provider Profile Details

NPI Number
1265009807
Provider Name
Emily D Brassard
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1120 Route 72, Suite 300, Mount Laurel, NJ 08054-0805
Phone Number
856-372-0994
Fax Number
856-861-1364
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 10, 2021
Last Update Date
June 10, 2021
Certification Date
May 25, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1120 Route 72
Suite 300
Mount Laurel, NJ 08054-0805
Zip
08054-0805
Phone Number
856-372-0994
Fax Number
856-861-1364
Mount Laurel, NJ 08054Get directions →

Provider Business Mailing Address Details

Address
9 Sawyer Ln
Saugerties, NY 12477-4252
City
Saugerties
State
NY
Zip
12477-4252
Phone Number
845-417-7884

License Information

License Number
089691-01
License State
NY
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Emily D Brassard, LCSW?

The NPI number of Emily D Brassard, LCSW is 1265009807. It was assigned on June 10, 2021 and is currently active in the NPPES registry.

What is the specialty of Emily D Brassard, LCSW?

Emily D Brassard, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 089691-01.

Where does Emily D Brassard, LCSW practice?

The practice location is 1120 Route 72, Suite 300, Mount Laurel, NJ 08054-0805. The office can be reached at 856-372-0994 (phone) or 856-861-1364 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265009807 directly on the NPPES registry website.

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