Active NPI
Chandra Emery, MSW, JD, LLM
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1205470978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- A5656
- Practice address
- 921 SW Washington St Ste 420
Portland, OR 97205-2836 - Phone
- (503) 806-6073
- NPI assigned
- Nov 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | A5656 | OR | Primary |
Addresses
Primary practice location
921 SW Washington St Ste 420
Portland, OR 97205-2836
Mailing address
2336 SW Osage St Unit 605
Portland, OR 97205-1033
Phone (503) 806-6073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 19, 2024 through Jul 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Juris Doctor
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A5656 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1205470978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2336 SW OSAGE ST UNIT 605",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972051033",
"telephone_number": "503-806-6073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 SW WASHINGTON ST STE 420",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052836",
"telephone_number": "503-806-6073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERY",
"first_name": "CHANDRA",
"credential": "MSW, JD, LLM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-05",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "A5656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.