Emily Anne Martin, LCSW

Individual provider Active NPI Clinical Social Worker · Rock Island, IL

NPI 1609439009 · NPPES record last updated Jun 5, 2025

Key facts

NPI
1609439009
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149027984 (IL)
Practice address
2701 17TH St
Rock Island, IL 61201-5351
Phone
(701) 202-9043
NPI assigned
Apr 21, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yusuf Salah LLC (45 clinicians)
The Robert Young Center for Community Mental Health (54 clinicians)

Practice addresses (Care Compare)

2002 Cedar St
Muscatine, IA 52761-2612
Phone (563) 264-2023

2200 3Rd Ave
Rock Island, IL 61201-8840
Phone (309) 779-2094

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (563) 742-5800

7300 W College Dr
Suite 101
Palos Heights, IL 60463-1181
Phone (708) 448-8470

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IL, IA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250528001937 IL Practitioner - Clinical Social Worker 9931628419 Reassigns benefits to 2 organizations
I20251028000428 IA Practitioner - Clinical Social Worker 9931628419 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
089759IAMDClinical Social Worker
149027984ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Robert Young Center for Community Mental Health Current
since Apr 7, 2025
Accepting new patients
The Robert Young Center for Community Mental Health Current Accepting new patients
The Robert Young Center for Community Mental Health Current
since Aug 15, 2025
Accepting new patients
Yusuf Salah LLC Current
since Apr 15, 2025
Accepting new patients
The Robert Young Center for Community Mental Health Current
since Apr 7, 2025
Accepting new patients

Locations

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

4622 Progress Dr
Ste A
Davenport, IA 52807
Phone (563) 742-5800

2002 Cedar St
Muscatine, IA 52761
Phone (563) 263-2023

19550 Governors Hwy
Flossmoor, IL 60422
Phone (708) 799-8400

4600 3rd St
Moline, IL 61265
Phone (309) 779-3000

6321 Dempster St
Morton Grove, IL 60053

7300 W College Dr
Ste 101
Palos Heights, IL 60463
Phone (708) 448-8470

2200 3rd Ave
Rock Island, IL 61201
Phone (309) 779-2094

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

2560 24th St
Ste 101
Rock Island, IL 61201
Phone (309) 779-3970

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089759 IA
Clinical Social Worker 1041C0700X 149027984 IL Yes

Addresses

Primary practice location

2701 17TH St
Rock Island, IL 61201-5351

Mailing address

1027 16TH St
Rock Island, IL 61201-2556
Phone (701) 202-9043

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 5, 2025.

{
    "created_epoch": "1555804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1609439009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 16TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612012556",
            "telephone_number": "701-202-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 17TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015351",
            "telephone_number": "701-202-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-21",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "089759",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149027984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Island, IL

All providers in Rock Island, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.