Provider Demographics
NPI:1669278297
Name:BRISKIE, EMILY KATE MINSER (LCSW)
Entity type:Individual
Prefix:
First Name:EMILY KATE
Middle Name:MINSER
Last Name:BRISKIE
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 1:3420 GREENVILLE LOOP RD
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-9380
Mailing Address - Country:US
Mailing Address - Phone:919-740-7445
Mailing Address - Fax:
Practice Address - Street 1:103 MARKET ST
Practice Address - Street 2:
Practice Address - City:LOUISBURG
Practice Address - State:NC
Practice Address - Zip Code:27549-2523
Practice Address - Country:US
Practice Address - Phone:919-729-0806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0086061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical