Individual provider Active NPI

Alexis Marie Chamberlin, LCSW

  • Clinical Social Worker
  • Bellevue, WA
National Provider Identifier
1255189577
Registry record updated Mar 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09930653 Issued in CO
Practice address
3805 108TH Ave NE
Suite #204, Village Office Park
Bellevue, WA 98004-7613
Phone
(425) 242-1713
NPI assigned
May 10, 2024
Last updated
Mar 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 61640183 WA
Social Worker 104100000X LSW.0009924511 CO
Clinical Social Worker 1041C0700X CSW.09930653 CO Primary

Addresses

Primary practice location

3805 108TH Ave NE
Suite #204, Village Office Park
Bellevue, WA 98004-7613

Mailing address

3805 108TH Ave NE
Suite #204, Village Office Park
Bellevue, WA 98004-7613

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61640183WAMDMental Health Counselor
LSW.0009924511COMDSocial Worker
CSW.09930653COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Colorado Mental Health Center, Inc Current Accepting new patients
Ikron Greater Seattle Past Accepting new patients
Ikron Greater Seattle Past Accepting new patients

Locations

495 W 4th St
Dove Creek, CO 81324
Phone (970) 677-2291

1125 Three Springs Blvd
Durango, CO 81301
Phone (970) 403-0180

150 Mercury Village Dr
Durango, CO 81301
Phone (970) 335-2342

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774656000000",
    "number": "1255189577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 108TH AVE NE",
            "address_2": "SUITE #204, VILLAGE OFFICE PARK",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980047613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 108TH AVE NE",
            "address_2": "SUITE #204, VILLAGE OFFICE PARK",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980047613",
            "telephone_number": "425-242-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLIN",
        "first_name": "ALEXIS",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2026-03-28",
        "certification_date": "2026-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61640183",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009924511",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09930653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.