Individual provider Active NPI

Emily Anne Martin, LCSW

  • Clinical Social Worker
  • Rock Island, IL
National Provider Identifier
1609439009
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149027984 Issued in IL
Practice address
2701 17TH St
Rock Island, IL 61201-5351
Phone
(701) 202-9043
NPI assigned
Apr 21, 2019
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
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 2

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

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 3577895176, 45 clinicians
The Robert Young Center for Community Mental HealthGroup PAC ID 4587600150, shared by 3 NPIs, 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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089759IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Robert Young Center for Community Mental Health CurrentSince Apr 7, 2025 Accepting new patients
The Robert Young Center for Community Mental Health CurrentSince Apr 7, 2025 Accepting new patients
The Robert Young Center for Community Mental Health CurrentSince Aug 15, 2025 Accepting new patients
The Robert Young Center for Community Mental Health Current Accepting new patients
Yusuf Salah LLC CurrentSince Apr 15, 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) 779-2022

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

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

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

Organizations & group practices 5

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": "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

Sources for this page

Verify at the official NPI Registry.