Individual provider Active NPI

Emily George Tilley, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1821479486
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10596 Issued in LA
Practice address
1034 Foxlane Dr
Baton Rouge, LA 70819-2103
Phone
(225) 288-0218
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 5035 LA
Clinical Social Worker 1041C0700X 10596 LA Primary

Addresses

Primary practice location

1034 Foxlane Dr
Baton Rouge, LA 70819-2103

Mailing address

1034 Foxlane Dr
Baton Rouge, LA 70819-2103
Phone (225) 288-0218

Other practice location 1

446 N 12th St
Baton Rouge, LA 70802-4613
Phone (225) 344-6345

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

State licenses

LicenseStateTypeSpecialty
5035LAMDMental Health Counselor
10596LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
O'Brien House Clinical Current Accepting new patients
Egt Counseling & Consulting Services, LLC Current Accepting new patients
O'Brien House CurrentSince Oct 5, 2021 Accepting new patients

Locations

446 N 12th St
Baton Rouge, LA 70802
Phone (225) 344-6345

1220 Main St
Baton Rouge, LA 70802
Phone (225) 344-6345

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1821479486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 FOXLANE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708192103",
            "telephone_number": "225-288-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 FOXLANE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708192103",
            "telephone_number": "225-288-0218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "446 N 12th St",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708024613",
            "country_code": "US",
            "telephone_number": "225-344-6345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "EMILY",
        "middle_name": "GEORGE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "5035",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.