Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emma Susann Anderson, LCSW

Individual provider Mental Health Counselor · NPI 1023459591

Emma Susann Anderson, LCSW is a Clinical Social Worker in Bend, Oregon. Qualified in 2019, 7 years ago. Practices with Deschutes County Oregon, a 57-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2013
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2577 NE Courtney Dr
Bend, OR 97701-7752
Phone: (541) 322-7500
Fax: (541) 322-7565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L10995 (OR)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1023459591
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 12, 2013
Last updated in NPPESJune 7, 2022
Certification dateJune 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Deschutes County Oregon — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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