Emily Arnold, LLC
Organization Active NPI Clinical Social Worker · Pendleton, OR
NPI 1831803337 · NPPES record last updated Jan 10, 2025
Key facts
- NPI
- 1831803337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- EMILY ARNOLD, LLC
- Practice address
- 1100 Southgate Ste 3
Pendleton, OR 97801-3971 - Phone
- (541) 215-4440
- NPI assigned
- Jan 9, 2023
- Organization subpart
- No
Authorized official
- Name
- Mrs. Emily Arnold, LCSW
- Title
- LCSW
- Phone
- (803) 556-6842
Practitioners 8
-
Jessica Lynne Davison, CSWA
-
Stephanie Christine Evans, PSYD, BA, RC
-
Natalie M. Kollross, PSY.D.
-
Levonne F Kountz, MSW, LCSW
-
Carrie Rochelle Luke, LCSW
-
Lindsay Kaye Tice, PSY D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230405000292 | OR | Part B Supplier - Clinic/Group Practice | 8123493129 |
Receives reassigned benefits from 1 practitioner Practice locations: Pendleton, OR |
National Provider Directory
Locations
230 S Main St
Pendleton, OR 97801
Phone (541) 304-5329
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
1100 Southgate Ste 3
Pendleton, OR 97801-3971
Mailing address
314 NW 4TH St
Pendleton, OR 97801-1619
Phone (803) 556-6842
Other providers in Pendleton, OR
- Amanda M Eggers
- Misty Dawn Eichholz
- Elizabeth Scheeler Counseling, LLC
- Olivia Jillian Elrod
- Amanda Beth Emery
- Paul Michael Emmons
- Jane Endicott
- Engrace Hospice LLC
- Enrich Therapy LLC
- Brenda Sue Eoff
All providers in Pendleton, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.