Individual provider Active NPI

Emily Linnea Walden, LCSW

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1104594647
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12004123 Issued in WI
Practice address
111 S 1St St Ste 120
Madison, WI 53704-5245
Phone
(608) 512-0616
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12004123 WI Primary

Addresses

Primary practice location

111 S 1St St Ste 120
Madison, WI 53704-5245

Mailing address

111 S 1St St Ste 120
Madison, WI 53704-5245
Phone (608) 512-0616

Other practice location 1

629 River St Ste C
Belleville, WI 53508-9189
Phone (608) 512-0616

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

LicenseStateTypeSpecialty
12004123WIMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1104594647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 1ST ST STE 120",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045245",
            "telephone_number": "608-512-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 1ST ST STE 120",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045245",
            "telephone_number": "608-512-0616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "629 River St Ste C",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "WI",
            "postal_code": "535089189",
            "country_code": "US",
            "telephone_number": "608-512-0616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "EMILY",
        "middle_name": "LINNEA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12004123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.