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EMILY BROOM MA
NPI 1063811073
Social Worker - Clinical in Mcminnville, OR

Active since August 14, 2014PECOS Enrolled
435 NE EVANS ST STE A, MCMINNVILLE, OR 97128(503) 472-4020(503) 472-8630 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Emily Broom Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY BROOM MA (NPI 1063811073) is an individual clinical provider in Mcminnville, Oregon, licensed in Oregon (L4624) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063811073
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEMILY BROOMCredential: MA
Location Address435 NE EVANS ST STE AMcminnville, OR 97128-4635
Mailing Address435 Ne Evans St Ste AMcminnville, OR 97128-4635 · (503) 472-4020 · Fax (503) 472-8630
Phone(503) 472-4020
Fax(503) 472-8630
Sole ProprietorNo
Enumeration DateAugust 14, 2014
Last NPPES UpdateAugust 30, 2022
NPPES CertifiedAugust 30, 2022
✔ NPI 1063811073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OR · L4624
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
435 NE EVANS ST STE A, Mcminnville, OR 97128
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Broom Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Emily Broom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lutheran Community Services Northwest
Same address
Community/Behavioral Health
435 NE EVANS ST STE A
Mcminnville, OR 97128
  • Reassigned Medicare billing, Oregon enrollment
  • 20 clinicians in this Medicare group
NPI 1255542106 (503) 472-4020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ESTENIO ELIEZER SEDE EDUARDO
Counselor (Mental Health)
435 NE EVANS ST STE A
MCMINNVILLE, OR 97128
Yamhill County (503) 472-4020
MICHELLE MOORE
Peer Specialist
435 NE EVANS ST STE A
MCMINNVILLE, OR 97128
Yamhill County (503) 472-4020
KATHERINE BOWMAN
Counselor (Mental Health)
435 NE EVANS ST STE A
MCMINNVILLE, OR 97128
Yamhill County (503) 472-4020
SYDNEY ROSE PHILLIPS
Case Manager/Care Coordinator
435 NE EVANS ST STE A
MCMINNVILLE, OR 97128
Yamhill County (503) 472-4020
LEANNE THERESE CASE
Social Worker
435 NE EVANS ST STE A
MCMINNVILLE, OR 97128
Yamhill County (503) 472-4020
ANGELICA MARIA CAMPOS
Counselor
435 NE EVANS ST STE A
MCMINNVILLE, OR 97128
Yamhill County (206) 901-1685
ANA LA PAZ
Counselor (Mental Health)
435 NE EVANS ST STE A
MCMINNVILLE, OR 97128
Yamhill County (503) 472-4020
RACHEL MCCORMICK
Counselor (Mental Health)
435 NE EVANS ST STE A
MCMINNVILLE, OR 97128
Yamhill County (503) 472-4020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Broom's NPI number?

The NPI number for Emily Broom is 1063811073. It was assigned to this individual provider in the NPPES registry on August 14, 2014.

Where is Emily Broom located?

Emily Broom practices at 435 NE Evans St Ste A, Mcminnville, OR 97128. The listed phone number is (503) 472-4020.

What is Emily Broom's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Emily Broom enrolled in Medicare?

Yes. Emily Broom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emily Broom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Broom reassigns Medicare benefits to Lutheran Community Services Northwest (Mcminnville, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emily Broom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Broom accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Emily Broom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emily Broom was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.