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CHANDRA EMERY MSW, JD, LLM
NPI 1205470978
Social Worker - Clinical in Portland, OR

Active since November 05, 2019Opted out of Medicare · through Jul 19, 2028
921 SW WASHINGTON ST STE 420, PORTLAND, OR 97205(503) 806-6073 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Chandra Emery Msw, Jd, Llm NPPES

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

CHANDRA EMERY MSW, JD, LLM (NPI 1205470978) is an individual clinical provider in Portland, Oregon, licensed in Oregon (A5656) and active in the NPI registry since November 2019. She has opted out of Medicare through July 19, 2028.

NPPES Registry Identity

NPI1205470978
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHANDRA EMERYCredential: MSW, JD, LLM
Location Address921 SW WASHINGTON ST STE 420Portland, OR 97205-2836
Mailing Address2336 Sw Osage St Unit 605Portland, OR 97205-1033 · (503) 806-6073
Phone(503) 806-6073
Sole ProprietorYes
Enumeration DateNovember 5, 2019
✔ NPI 1205470978 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 · A5656
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.
921 SW WASHINGTON ST STE 420, Portland, OR 97205
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Chandra Emery Msw, Jd, Llm has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 19, 2024 through July 19, 2028.

Opt-Out Effective DateJuly 19, 2024
Opt-Out In Effect ThroughJuly 19, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Chandra Emery's NPI number?

The NPI number for Chandra Emery is 1205470978. It was assigned to this individual provider in the NPPES registry on November 5, 2019.

Where is Chandra Emery located?

Chandra Emery practices at 921 SW Washington St Ste 420, Portland, OR 97205. The listed phone number is (503) 806-6073.

What is Chandra Emery's specialty?

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

Is Chandra Emery enrolled in Medicare?

No. Chandra Emery has opted out of Medicare through July 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Chandra Emery was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.