Provider Demographics
NPI:1174221105
Name:PIECHOTA, EMILEE ELIZABETH (LICSW, LCSW, LISW)
Entity type:Individual
Prefix:
First Name:EMILEE
Middle Name:ELIZABETH
Last Name:PIECHOTA
Suffix:
Gender:F
Credentials:LICSW, LCSW, LISW
Other - Prefix:
Other - First Name:EMILEE
Other - Middle Name:ELIZABETH
Other - Last Name:SEGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW
Mailing Address - Street 1:2 I ST SE APT 1323
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-4160
Mailing Address - Country:US
Mailing Address - Phone:202-603-6049
Mailing Address - Fax:
Practice Address - Street 1:4494 PALMER RD N
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:202-603-6049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-20
Last Update Date:2023-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040138651041C0700X
OHI.18011971041C0700X
DCLC2000017831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
00000000000000000000OtherDO NOT HAVE SUCH NUMBERS