Active NPI
Emily Lynn Willms
- Social Worker
- Massapequa, NY
National Provider Identifier
1104481043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 104250-1
- Practice address
- 627 Broadway
Massapequa, NY 11758-5031 - Phone
- (631) 514-5433
- NPI assigned
- May 7, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 104250-1 | NY | Primary |
Addresses
Primary practice location
627 Broadway
Massapequa, NY 11758-5031
Mailing address
400 W Main St
Massapequa, NY 11758
Phone (631) 514-5433
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 |
|---|---|---|---|
| 104250-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service League, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Huntington, NY
- NPI 1528093242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1104481043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W MAIN ST",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "11758",
"telephone_number": "631-514-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 BROADWAY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117585031",
"telephone_number": "631-514-5433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLMS",
"first_name": "EMILY",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-07",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "104250-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massapequa, NY
- William J. Schwarz, P.T. of Commack LLC
- William J. Schwarz, P.T., P.C.
- Antoinette Williams, LMSW
- Brooke Williams, LMHC
- Carolyn Ann Williams, RPH
- Wendy Ann Wilson, C.S.W.
- Nicole Winters, CCC-SLP
- Winthrop Community Medical Affiliates, P.C.
- Winthrop Community Medical Affiliates, P.C.
- Winthrop Community Medical Affiliates, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.