Individual provider Active NPI

Anne Dolores Emmett, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1215904370
Registry record updated Aug 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L1240 Issued in OR
Practice address
1020 SW Taylor St Ste 560
Portland, OR 97205-2533
Phone
(503) 238-2405
Fax
(888) 974-3958
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L1240 OR Primary

Addresses

Primary practice location

1020 SW Taylor St Ste 560
Portland, OR 97205-2533

Mailing address

PO Box 11860
Portland, OR 97211-0860
Phone (503) 238-2405

Other practice location 1

516 SE Morrison St
Suite 500
Portland, OR 97214-2327
Phone (503) 238-2405

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
I20140619002456 OR Practitioner - Clinical Social Worker 1052535754 Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1020 SW Taylor St
Suite 560
Portland, OR 97205-2533
Phone (503) 238-2405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Emmett Therapy LLC CurrentSince Apr 14, 2014 Accepting new patients
Well Coast Medical Corporation CurrentSince Jul 5, 2023 Accepting new patients

Locations

1020 SW Taylor St
Ste 560
Portland, OR 97205
Phone (503) 231-1711

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659830400000",
    "number": "1215904370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11860",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972110860",
            "telephone_number": "503-238-2405",
            "fax_number": "888-974-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 560",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052533",
            "telephone_number": "503-238-2405",
            "fax_number": "888-974-3958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 SE Morrison St",
            "address_2": "Suite 500",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972142327",
            "country_code": "US",
            "telephone_number": "503-238-2405",
            "fax_number": "503-742-5301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMMETT",
        "first_name": "ANNE",
        "middle_name": "DOLORES",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L1240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.