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

Mr. James Samuel Shoemaker, LCSW

Individual provider Clinical Social Worker · NPI 1083337257

Mr. James Samuel Shoemaker, LCSW is a Clinical Social Worker in Portland, Oregon. Qualified in 2015, 11 years ago. Practices with Legacy Emanuel Hospital and Health Center, a 233-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2022
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

1130 NW 22nd Ave Ste 220
Portland, OR 97210-2969
Phone: (503) 413-8988
Fax: (503) 413-5629
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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 L12412 (OR)

Record details

NPI number1083337257
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 22, 2022
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Legacy Emanuel Hospital And Health Center — 233 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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