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CARISSA EMORY LCSW, LICSW
NPI 1700335007
Social Worker - Clinical in Portland, OR

Active since September 27, 2016Opted out of Medicare · through Sep 19, 2027
2301 NW THURMAN ST STE F, PORTLAND, OR 97210(971) 350-8892(971) 277-7697 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2025, Jan 20, 2023, Jun 21, 2021 and 2 more (5 updates tracked since 2016).

About Carissa Emory Lcsw, Licsw NPPES

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

CARISSA EMORY LCSW, LICSW (NPI 1700335007) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L12292) and active in the NPI registry since September 2016. She has opted out of Medicare through September 19, 2027.

NPPES Registry Identity

NPI1700335007
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARISSA EMORYCredential: LCSW, LICSW
Location Address2301 NW THURMAN ST STE FPortland, OR 97210-2581
Mailing Address2301 Nw Thurman St Ste FPortland, OR 97210-2581 · (971) 350-8892 · Fax (971) 277-7697
Phone(971) 350-8892
Fax(971) 277-7697
Sole ProprietorYes
Enumeration DateSeptember 27, 2016
Last NPPES UpdateMarch 10, 20255 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1700335007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in OR · L12292✔ Licensed in WA · LW61084473
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.
2301 NW THURMAN ST STE F, Portland, OR 97210
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Other Names 1

Former Name (1)Carissa Aresta Lcsw, Licsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carissa Emory Lcsw, Licsw 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 September 19, 2025 through September 19, 2027.

Opt-Out Effective DateSeptember 19, 2025
Opt-Out In Effect ThroughSeptember 19, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

ANNETTE SMITH LPC
Counselor (Mental Health)
2301 NW THURMAN ST STE F
PORTLAND, OR 97210
Multnomah County (971) 267-2623
MS. MEGAN E QUIGLEY LCSW
Social Worker (Clinical)
2301 NW THURMAN ST STE F
PORTLAND, OR 97210
Multnomah County (503) 915-4906
MS. LISA ORENSTEIN LCSW-C
Social Worker (Clinical)
2301 NW THURMAN ST STE F
PORTLAND, OR 97210
Multnomah County (413) 823-2447
JEREMY SCOTT JONES LPC, PCMHC
Counselor
2301 NW THURMAN ST STE F
PORTLAND, OR 97210
Multnomah County (503) 744-7440
NATALIE GOLDFARB CADC 1
Social Worker (Clinical)
2301 NW THURMAN ST STE F
PORTLAND, OR 97210
Multnomah County (971) 266-3945

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 Carissa Emory's NPI number?

The NPI number for Carissa Emory is 1700335007. It was assigned to this individual provider in the NPPES registry on September 27, 2016. The provider is also known as Carissa Aresta Lcsw, Licsw.

Where is Carissa Emory located?

Carissa Emory practices at 2301 NW Thurman St Ste F, Portland, OR 97210. The listed phone number is (971) 350-8892.

What is Carissa Emory's specialty?

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

Is Carissa Emory enrolled in Medicare?

No. Carissa Emory has opted out of Medicare through September 19, 2027. 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 Carissa Emory was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.