| Doctor Name: | MR. JOHN G EMMERICH |
| NPI Number: | 1104060193 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, LISW-S |
| License Number: | I 0007556 SUPV |
| Business Practice Address: | 5266 Merrybell Ln Grove City, OH - 431239020 |
| Business Phone Number: | 6145810399 |
| Business Fax Number: | |
| Mailing Address: | 5266 Merrybell Ln, GROVE CITY |
| State: | OH |
| Postal Code: | 431239020 |
| Phone Number: | 6145810399 |
| Fax Number: | |
| NPI Enumeration Date: | 04/22/2009 |
| NPI Last Update Date: | 04/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I 0007556 SUPV |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |