Individual provider Active NPI

Alyssa Laverne Smith, MSW

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1063867919
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60907998 Issued in WA
Practice address
127 W Boone Ave
Spokane, WA 99201-2309
Phone
(509) 838-4651
NPI assigned
Apr 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60907998 WA Primary

Addresses

Primary practice location

127 W Boone Ave
Spokane, WA 99201-2309

Mailing address

107 S Division St
Spokane, WA 99202-1510
Phone (509) 838-4651

Other practice location 1

15609 SE Mill Plain Blvd
Vancouver, WA 98684-8952
Phone (360) 433-9664

Other practice location 2

13505 NE 10th Ave
Vancouver, WA 98685-2711
Phone (360) 433-9664

Other practice location 3

655 W Columbia Way Ste 400
Vancouver, WA 98660-3613
Phone (360) 433-9664

Other identifiers 1

IdentifierTypeStateIssuer
2114141MedicaidWA

Other names 1

  • Alyssa Laverne Jeffers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190408002515 WA Practitioner - Clinical Social Worker 7012258676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 S Division St
Spokane, WA 99202-1510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Behavioral Health Clinical CurrentSince Feb 2, 2019 Accepting new patients
Refresh Therapy, Inc CurrentSince Feb 1, 2025 Accepting new patients
Refresh Therapy, Inc Past Accepting new patients

Locations

127 W Boone Ave
Spokane, WA 99201
Phone (509) 720-9513

107 S Division St
Spokane, WA 99202
Phone (509) 383-4651

655 W Columbia Way
Ste 400
Vancouver, WA 98660
Phone (360) 433-9664

13505 NE 10th Ave
Vancouver, WA 98685
Phone (360) 433-9664

15609 SE Mill Plain Blvd
Vancouver, WA 98684
Phone (360) 215-3242

Organizations & group practices 3

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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1063867919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021510",
            "telephone_number": "509-838-4651",
            "fax_number": "509-838-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W BOONE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012309",
            "telephone_number": "509-838-4651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15609 SE Mill Plain Blvd",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986848952",
            "country_code": "US",
            "telephone_number": "360-433-9664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13505 NE 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986852711",
            "country_code": "US",
            "telephone_number": "360-433-9664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 W Columbia Way Ste 400",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986603613",
            "country_code": "US",
            "telephone_number": "360-433-9664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALYSSA",
        "middle_name": "LAVERNE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60907998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2114141",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "JEFFERS",
            "middle_name": "LAVERNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.