Provider Demographics
NPI:1538415179
Name:HERSHENSON, EMILY HARTER (LICSW)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:HARTER
Last Name:HERSHENSON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 BILTMORE ST NW
Mailing Address - Street 2:32
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-1938
Mailing Address - Country:US
Mailing Address - Phone:202-669-5558
Mailing Address - Fax:
Practice Address - Street 1:1840 BILTMORE ST NW
Practice Address - Street 2:32
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-1938
Practice Address - Country:US
Practice Address - Phone:202-669-5558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-01
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500791371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical