Individual provider Active NPI

Alyssa Campbell, LSWAIC

  • Clinical Social Worker
  • Arlington, WA
National Provider Identifier
1144071036
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC61535655 Issued in WA
Practice address
3710 168TH St NE Ste A207
Arlington, WA 98223-8464
Phone
(360) 218-4645
Fax
(360) 218-4645
NPI assigned
Mar 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 SC61535655 WA Primary

Addresses

Primary practice location

3710 168TH St NE Ste A207
Arlington, WA 98223-8464

Mailing address

3710 168TH St NE Ste A207
Arlington, WA 98223-8464
Phone (360) 218-4645

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
SC61535655WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Justice Social Work, Inc. Clinical CurrentSince Mar 1, 2024 Accepting new patients

Locations

6231 188th St NE
Arlington, WA 98223
Phone (360) 218-4645

3710 168th St NE
Ste A207
Arlington, WA 98223
Phone (360) 218-4645

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": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1144071036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 168TH ST NE STE A207",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238464",
            "telephone_number": "360-218-4645",
            "fax_number": "360-218-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 168TH ST NE STE A207",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238464",
            "telephone_number": "360-218-4645",
            "fax_number": "360-218-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ALYSSA",
        "credential": "LSWAIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61535655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.