Individual provider Active NPI

Anna Jolene Campbell, LICSW

  • Clinical Social Worker
  • Marysville, WA
National Provider Identifier
1114890068
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61619397 Issued in WA
Practice address
1106 Columbia Ave
Marysville, WA 98270-4335
Phone
(425) 610-8484
NPI assigned
Sep 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 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 LW61619397 WA Primary

Addresses

Primary practice location

1106 Columbia Ave
Marysville, WA 98270-4335

Mailing address

6914 Beverly LN
Everett, WA 98203-4941

Other practice location 1

8490 Mukilteo Speedway Ste 204
Mukilteo, WA 98275-3210
Phone (425) 610-8484

Other practice location 2

6914 Beverly Ln
Everett, WA 98203-4941
Phone (360) 599-0399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LW61619397WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Psychotherapy & Counseling Services PLLC PastSince Oct 5, 2021 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": "1758844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1114890068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 BEVERLY LN",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982034941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 COLUMBIA AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704335",
            "telephone_number": "425-610-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8490 Mukilteo Speedway Ste 204",
            "address_purpose": "LOCATION",
            "city": "Mukilteo",
            "state": "WA",
            "postal_code": "982753210",
            "country_code": "US",
            "telephone_number": "425-610-8484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6914 Beverly Ln",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982034941",
            "country_code": "US",
            "telephone_number": "360-599-0399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ANNA",
        "middle_name": "JOLENE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61619397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.