Active NPI
Emily Middleton, LCWS, MSW, QMHP
- Clinical Social Worker
- Vienna, IL
National Provider Identifier
1174035935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 101 Oliver St
Vienna, IL 62995-1660 - Phone
- (618) 658-2611
- Fax
- (618) 658-2501
- NPI assigned
- Nov 1, 2017
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
101 Oliver St
Vienna, IL 62995-1660
Mailing address
101 Oliver St
Vienna, IL 62995-1660
Phone (618) 658-2611
Other names 1
- Emily Lind
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
Practice roles
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Golconda, IL
- NPI 1538114608
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Vienna, IL
- NPI 1598912263
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1174035935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 OLIVER ST",
"city": "VIENNA",
"state": "IL",
"postal_code": "629951660",
"telephone_number": "618-658-2611",
"fax_number": "618-658-2501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 OLIVER ST",
"city": "VIENNA",
"state": "IL",
"postal_code": "629951660",
"telephone_number": "618-658-2611",
"fax_number": "618-658-2501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "EMILY",
"credential": "LCWS, MSW, QMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-01",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "LIND",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vienna, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.