Active NPI
Carissa Emory, LCSW, LICSW
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1700335007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L12292
- Practice address
- 2301 NW Thurman St Ste F
Portland, OR 97210-2581 - Phone
- (971) 350-8892
- Fax
- (971) 277-7697
- NPI assigned
- Sep 27, 2016
- Last updated
- Mar 10, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW61084473 | WA | |
| Clinical Social Worker | 1041C0700X | L12292 | OR | Primary |
Addresses
Primary practice location
2301 NW Thurman St Ste F
Portland, OR 97210-2581
Mailing address
2301 NW Thurman St Ste F
Portland, OR 97210-2581
Phone (971) 350-8892
Other names 1
- Carissa Aresta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 19, 2025 through Sep 19, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L12292 | OR | MD | Clinical Social Worker |
| LW61084473 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Solutions, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/family-solutions/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Vancouver, WA
- NPI 1831258995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1700335007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 NW THURMAN ST STE F",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102581",
"telephone_number": "971-350-8892",
"fax_number": "971-277-7697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 NW THURMAN ST STE F",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102581",
"telephone_number": "971-350-8892",
"fax_number": "971-277-7697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMORY",
"first_name": "CARISSA",
"credential": "LCSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-27",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW61084473",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L12292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARISSA",
"last_name": "ARESTA",
"credential": "LCSW, LICSW",
"code": "1",
"type": "Former Name"
}
]
}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 Mar 10, 2025; 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.