Provider Demographics
NPI:1760273130
Name:BELL, EMMA RAE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:EMMA
Middle Name:RAE
Last Name:BELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:EMMA
Other - Middle Name:RAE
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1373 TOWNSHIP ROAD 2200N
Mailing Address - Street 2:
Mailing Address - City:OQUAWKA
Mailing Address - State:IL
Mailing Address - Zip Code:61469-7093
Mailing Address - Country:US
Mailing Address - Phone:309-337-3225
Mailing Address - Fax:
Practice Address - Street 1:1000 W HARLEM AVE
Practice Address - Street 2:
Practice Address - City:MONMOUTH
Practice Address - State:IL
Practice Address - Zip Code:61462-1007
Practice Address - Country:US
Practice Address - Phone:309-734-3141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0293111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical