Individual provider Active NPI

Emma C Crosby

  • Social Worker
  • Vancouver, WA
National Provider Identifier
1174997977
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CG61052535 Issued in WA
Practice address
13500 SE 7TH St
Vancouver, WA 98683-6909
Phone
(360) 699-2244
NPI assigned
Nov 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CG61052535 WA Primary

Addresses

Primary practice location

13500 SE 7TH St
Vancouver, WA 98683-6909

Mailing address

606 Kellogg St
Ann Arbor, MI 48105-1673
Phone (616) 450-2606

Other practice location 1

640 Temple St
Detroit, MI 48201-2599
Phone (313) 344-9099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260508002211 OR Practitioner - Clinical Social Worker 8820566706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9133 N Allegheny Ave
Portland, OR 97203-2303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CG61052535WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sprout Therapy PDX LLC CurrentSince Apr 1, 2026 Accepting new patients
Children'S Center PastSince Aug 30, 2020 Accepting new patients

Locations

6011 NE Oregon St
Ste 100
Portland, OR 97213
Phone (971) 319-4827

6011 NE Oregon St
Portland, OR 97213
Phone (971) 256-5766

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/thechildrenscenter/r4/

Organizations & group practices 2

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": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1174997977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 KELLOGG ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051673",
            "telephone_number": "616-450-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 SE 7TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986836909",
            "telephone_number": "360-699-2244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Temple St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012599",
            "country_code": "US",
            "telephone_number": "313-344-9099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "EMMA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "CG61052535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.