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
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
The Robert Young Center for Community Mental Health
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 089759 | IA | MD | Clinical Social Worker |
| 149027984 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Robert Young Center for Community Mental Health | Current |
Accepting new patients | |
| The Robert Young Center for Community Mental Health | Current | Accepting new patients | |
| The Robert Young Center for Community Mental Health | Current |
Accepting new patients | |
| Yusuf Salah LLC | Current |
Accepting new patients | |
| The Robert Young Center for Community Mental Health | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Nicholas Markovich
- Sammy Marogil
- Marriage and Family Counseling Service of R I Co
- Rojeanna L Marsh
- Erin Kathleen Marshall
- Judy Vanessa Martinez
- Mary Francis M Nuguid M D P C
- Ashley Kate Mathias
- James Matson
- April Rene Matthews
All providers in Rock Island, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.