Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lynn Alice Emmons, LCSW, RN, CADCI

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1083167159

Lynn Alice Emmons, LCSW, RN, CADCI is a Clinical Social Worker in Portland, Oregon. Qualified in 2012, 14 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
14
Licensed in
OR
In the registry since
2016
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.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

5128 NE 42nd Ave
Portland, OR 97218-1506
Phone: (971) 930-2586
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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 L6659 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 12-09-11 (OR)

Record details

NPI number1083167159
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , RN , CADCI
Sole proprietorYes
NPI enumeratedJuly 26, 2016
Last updated in NPPESJuly 26, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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