Individual provider Active NPI

Emilyrae Matsko

  • Clinical Social Worker
  • Oquawka, IL
National Provider Identifier
1477389583
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1204 Il-164
Oquawka, IL 61469
Phone
(309) 924-2414
NPI assigned
Sep 13, 2024
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 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 Primary

Addresses

Primary practice location

1204 Il-164
Oquawka, IL 61469

Mailing address

PO Box 198
Oquawka, IL 61469-0198
Phone (309) 299-6674

Other practice location 1

230 S Main St
Monmouth, IL 61462-2160
Phone (309) 924-2414

Other practice location 2

101 S Division St
Stronghurst, IL 61480-5033
Phone (309) 924-2414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251120001253 IL Practitioner - Clinical Social Worker 3870085558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1204 Hwy 164 E
Oquawka, IL 61469-3204
Phone (309) 924-2414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Rural Health Center Inc CurrentSince Nov 1, 2025 Accepting new patients
Henderson County Rural Health Center Inc CurrentSince Nov 1, 2025 Accepting new patients

Locations

230 S Main St
Monmouth, IL 61462
Phone 3098672202219

1204 Highway 164 E
Oquawka, IL 61469
Phone (309) 924-2414

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1477389583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198",
            "city": "OQUAWKA",
            "state": "IL",
            "postal_code": "614690198",
            "telephone_number": "309-299-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 IL-164",
            "city": "OQUAWKA",
            "state": "IL",
            "postal_code": "61469",
            "telephone_number": "309-924-2414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 S Main St",
            "address_purpose": "LOCATION",
            "city": "Monmouth",
            "state": "IL",
            "postal_code": "614622160",
            "country_code": "US",
            "telephone_number": "309-924-2414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 S Division St",
            "address_purpose": "LOCATION",
            "city": "Stronghurst",
            "state": "IL",
            "postal_code": "614805033",
            "country_code": "US",
            "telephone_number": "309-924-2414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATSKO",
        "first_name": "EMILYRAE",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-09-13",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oquawka, IL

Sources for this page

Verify at the official NPI Registry.