Alexandra Campbell, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61163270 Issued in WA

Practice address

5608 17TH Ave NW Ste 1513
Seattle, WA 98107-5232

Phone

(206) 880-1712

NPI assigned

Sep 21, 2018

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

Other names 1

• Alexandra Scheck Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Trillium Therapy Collective, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
  • NPI 1619616828
  NPD Authorized official

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648339200000",
    "number": "1356825657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 17TH AVE NW STE 1513",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075232",
            "telephone_number": "206-880-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 17TH AVE NW STE 1513",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075232",
            "telephone_number": "206-880-1712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 NE 95th St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981152426",
            "country_code": "US",
            "telephone_number": "425-507-7655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ALEXANDRA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2022-03-27",
        "certification_date": "2022-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60836023",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61163270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "SCHECK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edrie Roy Caminong
• David R Camitta, MD
• Allegra Xiu Hong Campagna, PHD
• Essie Annetta Campbell-Dedeaux
• Adam Campbell
• Amanda Campbell
• Andrea Noel Campbell, DNP, ARNP-CS, ACCNS
• Angela Ruthmarie Campbell, MA
• Becky Campbell, LMHCA
• Benjamin Lee Campbell, MSW

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, 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 Mar 27, 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.

Verify at the official NPI Registry.