Brooke Campbell, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34009539A Issued in IN

Practice address

2911 24TH Avenue CT SE
Puyallup, WA 98374-4308

Phone

(253) 317-6058

NPI assigned

Feb 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1174222632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 24TH AVENUE CT SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983744308",
            "telephone_number": "253-317-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 24TH AVENUE CT SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983744308",
            "telephone_number": "253-317-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "BROOKE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61543753",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009539A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devyn Catherine Cameron, ARNP
• Leah Rebekah Cammack, LMT
• Julie Camp, M.A., LMHC
• Allyson Campanelli Spence, DO
• Angela Campbell
• Chantress L Campbell
• Jessica Kinkelaar Campbell, LMP
• Lorie Lynn Campbell, M.ED., LMHCA
• Nanelle Campbell, RN
• Joshua Andrew Canady, LMHC

• Clinical Social Worker in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.