Active NPI
Khadijia Emery
- Social Worker
- Farmington, CT
National Provider Identifier
1083547228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10555
- Practice address
- 4 Main St
Farmington, CT 06032-2230 - Phone
- (860) 854-4193
- NPI assigned
- Jun 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0903004912 | VA | |
| Social Worker | 104100000X | 10555 | CT | Primary |
Addresses
Primary practice location
4 Main St
Farmington, CT 06032-2230
Mailing address
749 Mix Ave Apt B
Hamden, CT 06514-2226
Other practice location 1
9071 Center St
Manassas, VA 20110-5430
Phone (959) 200-0189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10555 | CT | MD | Social Worker |
| 0903004912 | VA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780704000000",
"number": "1083547228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "749 MIX AVE APT B",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065142226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MAIN ST",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060322230",
"telephone_number": "860-854-4193"
}
],
"practiceLocations": [
{
"address_1": "9071 Center St",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201105430",
"country_code": "US",
"telephone_number": "959-200-0189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EMERY",
"first_name": "KHADIJIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-06",
"last_updated": "2026-06-06",
"certification_date": "2026-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VA",
"license": "0903004912",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "10555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.