Individual provider · Type 1 NPI

Lynn Alice Emmons, LCSW, RN, CADCI

Clinical Social Worker · Portland, OR

NPI number 1083167159 Active

Practice location

5128 NE 42nd Ave
Portland, OR 97218-1506

Call (971) 930-2586 Map

Mailing address

6305 NE Prescott St
Portland, OR 97218-3247

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X12-09-11 (OR)
Clinical Social Worker Primary 1041C0700XL6659 (OR)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1083167159

Lynn Alice Emmons, LCSW, RN, CADCI's National Provider Identifier is 1083167159, issued on Jul 26, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jul 26, 2016.