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

Omolola Elliott, LCSW

Individual provider Marriage & Family Therapist · NPI 1285174680

Omolola Elliott, LCSW is a Clinical Social Worker in Portland, Oregon. Qualified in 2008, 18 years ago. Practices as a sole proprietor. Licensed in Oregon.

Years since qualifying
18
Licensed in
OR
In the registry since
2017
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

1312 E Burnside St
Portland, OR 97214-1424
Phone: (503) 205-1669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence L7113 (OR)

Record details

NPI number1285174680
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 3, 2017
Last updated in NPPESMarch 3, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated

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