Active NPI
Camille Lund
- Social Worker
- Spokane, WA
National Provider Identifier
1275143497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SC61332106
- Practice address
- 124 E Pacific Ave
Spokane, WA 99202-1518 - Phone
- (509) 838-4651
- NPI assigned
- Aug 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG61001714 | WA | |
| Behavior Technician | 106S00000X | |||
| Social Worker | 104100000X | SC61332106 | WA | Primary |
Addresses
Primary practice location
124 E Pacific Ave
Spokane, WA 99202-1518
Mailing address
107 S Division St
Spokane, WA 99202-1510
Phone (509) 838-4651
Other practice location 1
1819 E Springfield Ave Ste H
Spokane, WA 99202-2954
Phone (509) 999-5657
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
| License | State | Type | Specialty |
|---|---|---|---|
| CG61001714 | WA | MD | Counselor |
| SC61332106 | WA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Detox Services of Spokane | Current | Accepting new patients | |
| Spokane Treatment and Recovery Services | Current | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/spokanerecovery/r4/
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Spokane, WA
- NPI 1841957990
-
- Addiction (Substance Use Disorder) Counselor
- Spokane, WA
- NPI 1104957323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1275143497",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E PACIFIC AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021518",
"telephone_number": "509-838-4651"
}
],
"practiceLocations": [
{
"address_1": "1819 E Springfield Ave Ste H",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992022954",
"country_code": "US",
"telephone_number": "509-999-5657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUND",
"first_name": "CAMILLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG61001714",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "SC61332106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.