Individual provider Active NPI

Karen Christine Campbell-Wood, LICSW

  • Clinical Social Worker
  • Gig Harbor, WA
National Provider Identifier
1023445582
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60248750 Issued in WA
Practice address
6401 Rosemount Dr NW
Gig Harbor, WA 98335-6628
Phone
(206) 730-2162
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW017354 PA
Clinical Social Worker 1041C0700X LW60248750 WA Primary

Addresses

Primary practice location

6401 Rosemount Dr NW
Gig Harbor, WA 98335-6628

Mailing address

911 S 294TH PL
Federal Way, WA 98003-3714
Phone (206) 234-2422

Other practice location 1

151 Woodbine Rd
Downingtown, PA 19335-3057
Phone (610) 269-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2023 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW017354PAMDClinical Social Worker
LW60248750WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Villa St John Vianney PastSince Aug 4, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1023445582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 S 294TH PL",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980033714",
            "telephone_number": "206-234-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 ROSEMOUNT DR NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983356628",
            "telephone_number": "206-730-2162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Woodbine Rd",
            "address_purpose": "LOCATION",
            "city": "Downingtown",
            "state": "PA",
            "postal_code": "193353057",
            "country_code": "US",
            "telephone_number": "610-269-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL-WOOD",
        "first_name": "KAREN",
        "middle_name": "CHRISTINE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017354",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60248750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.