Provider Demographics
NPI:1730599622
Name:ELMORE, EMILY A (LCSW)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:A
Last Name:ELMORE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:A
Other - Last Name:NUZZO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1000 JORIE BLVD STE 36
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-4501
Mailing Address - Country:US
Mailing Address - Phone:773-236-1337
Mailing Address - Fax:630-487-5626
Practice Address - Street 1:1000 JORIE BLVD STE 36
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-4501
Practice Address - Country:US
Practice Address - Phone:630-560-1100
Practice Address - Fax:630-487-5626
Is Sole Proprietor?:No
Enumeration Date:2014-05-01
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490190101041C0700X
IL1500119961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical