I think that Noether's theorem is not essential from a purely practical point of view, in the following sense. You never need Noether's theorem to define the equations that a given system obeys. In classical mechanics, you can write down the equations of motion for a system, and evolve them on a computer with brute force. In quantum mechanics or quantum field theory, you can write down the theory in whatever your favorite formulation is, and directly compute scattering amplitudes / evolve the wavefunction / evaluate the path integral / whatever without ever making use of Noether's theorem.
Furthermore, I think it is rare that Noether's theorem is used to discover a qualitatively new feature of a physical system.
- The "standard" examples of conserved quantities -- energy, momentum, angular momentum -- were all known before Noether's theorem.
- Many "exotic" conserved quantities were discovered by accident, and only later realized to follow via Noether's theorem from some bizarre hidden symmetry. Examples include the Laplace-Runge-Lenz vector and the dual superconformal symmetry of $\mathcal{N}=4$ super-Yang Mills.
- Noether's theorem is never necessary to find a conserved quantity. For example, in the standard model, while various $U(1)$ symmetries combined with Noether's theorem make it obvious that, say, baryon number will be conserved, it's hard to imagine people would fail to realize baryon number was conserved without Noether's theorem. (For example one would presumably notice when computing scattering amplitudes that all baryon-number-violating diagrams vanish in the Standard Model).
Having said that, Noether's theorem is still tremendously important.
Noether's theorem is an organizing principle by which we understand the internal structure of our theories. Noether's theorem lets us reason about physical theories at a deep and abstract level, and therefore changes our view of physics and suggests questions to us that would be difficult to even ask otherwise, and also tells us that some questions are not interesting to think about.
For example: the world without Noether's theorem is an apparently ad hoc collection of conservation laws. How can we be confident that we have found them all? Noether's theorem explains the origin of these laws. This cuts off a brute direction of trying to check if various random quantities are conserved, and also suggests when an unexpected conservation law is found (like the Laplace-Runge-Lenz vector) to look for a hidden symmetry explaining the conservation law ($SU(4)$) which in turn can be exploited to solve the original problem in an elegant way (the spectrum of the hydrogen atom can be derived using group theory methods by using the $SU(4)$ symmetry of the Kepler problem).
Additionally, quantum field theory is hard and it's not always possible to start from first principles. There are successful phenomenological approaches such as current algebra which are crucially based on the assumption that Noether's theorem will guarantee the existence of operators with certain properties that can be used to parameterize scattering amplitudes, even though we don't know the actual underlying theory. This method was incredibly valuable in the development of the theory of the strong interactions.
The last argument I want to make in favor of Noether's theorem (not the last possible argument by any means!) is that Noether's theorem suggests ways to build new theories. For example, starting from the theory of a complex spin-1/2 field, we can notice there is a $U(1)$ symmetry and a corresponding conserved current. This conserved current can then by used to couple spin-1/2 field to a $U(1)$ gauge field. For more complicated theories like $SU(N)$ Yang-Mills theories and gravity, the Noether method for building consistent couplings is extremely useful. Furthermore, this Noether method can be used to prove the absence of a consistent theory of (a finite number of) higher-spin fields.