Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jeffrey William Emrick, LCSW, CADCIII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1093915324

Mr. Jeffrey William Emrick, LCSW, CADCIII is an Addiction (Substance Use Disorder) Counselor in Bend, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
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

2965 NE Conners Ave
Bend, OR 97701-7753
Phone: (542) 330-8896
Fax: (541) 330-8948
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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 L3798 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 02-R-05 (OR)

Record details

NPI number1093915324
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , CADCIII
Sole proprietorYes
NPI enumeratedJuly 24, 2007
Last updated in NPPESApril 9, 2012

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