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

Jesse Emerson, CSWA

Individual provider Clinical Social Worker · NPI 1528671450

Jesse Emerson, CSWA is a Clinical Social Worker in Portland, Oregon. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Oregon.

Years since qualifying
5
Licensed in
OR
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3181 SW Sam Jackson Park Rd # PPV350
Portland, OR 97239-3011
Phone: (503) 494-8562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1225 Ne 2nd Ave, Portland, OR 97232-2003 — (503) 944-8000

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L16878 (OR)
Social Worker Taxonomy 104100000X · Licence A13193 (OR)

Record details

NPI number1528671450
Entity typeIndividual (Type 1)
GenderMale
Credentials CSWA
Sole proprietorNo
NPI enumeratedAugust 29, 2020
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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