LYNN ALICE EMMONS LCSW, RN, CADCI
NPI 1083167159
Social Worker - Clinical in Portland, OR

Active since July 26, 2016PECOS EnrolledAccepts Medicare Assignment
5128 NE 42ND AVE, PORTLAND, OR 97218(971) 930-2586 Get Directions Write a Review

NPPES record last updated: July 26, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lynn Alice Emmons Lcsw, Rn, Cadci NPPES

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

LYNN ALICE EMMONS LCSW, RN, CADCI (NPI 1083167159) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L6659) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1083167159
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLYNN ALICE EMMONSCredential: LCSW, RN, CADCI
Location Address5128 NE 42ND AVEPortland, OR 97218-1506
Mailing Address6305 Ne Prescott StPortland, OR 97218-3247 · (503) 522-9655
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 26, 2016
NPI 1083167159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OR · L6659
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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 12-09-11 (OR)
5128 NE 42ND AVE, Portland, OR 97218

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lynn Alice Emmons Lcsw, Rn, Cadci is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840612149
PECOS Enrollment IDI20200615001535
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97218 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 $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 7

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

In Home Supportive Care
5128 NE 42ND AVE
PORTLAND, OR 97218
Acupuncturist
5128 NE 42ND AVE
PORTLAND, OR 97218
Acupuncturist
5128 NE 42ND AVE
PORTLAND, OR 97218
Massage Therapist
5128 NE 42ND AVE
PORTLAND, OR 97218
Acupuncturist
5128 NE 42ND AVE
PORTLAND, OR 97218
Occupational Therapist
5128 NE 42ND AVE
PORTLAND, OR 97218
Occupational Therapist
5128 NE 42ND AVE
PORTLAND, OR 97218

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083167159, enumerated as an "individual" on July 26, 2016.

The provider is located at 5128 NE 42ND AVE PORTLAND, OR 97218 and the phone number is (971) 930-2586.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.