Provider Demographics
NPI:1104654276
Name:THILGES, EMILY A (LMSW)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:A
Last Name:THILGES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4802 ADDISON DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-7963
Mailing Address - Country:US
Mailing Address - Phone:319-231-6687
Mailing Address - Fax:
Practice Address - Street 1:3253 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-2052
Practice Address - Country:US
Practice Address - Phone:319-800-5564
Practice Address - Fax:319-274-9023
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA063581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical