Active NPI
Suzanne Marie Campiche, MSW
- Social Worker
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LW60985209
- Practice address
- 12040 NE 128TH St
Kirkland, WA 98034-3013 - Phone
- (206) 669-4923
- NPI assigned
- Mar 27, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | L17704 | OR | |
| Social Worker | 104100000X | LW60985209 | WA | Primary |
Addresses
Primary practice location
12040 NE 128TH St
Kirkland, WA 98034-3013
Mailing address
3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-2185
Other practice location 1
3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-2185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1115 SE 164TH Ave Dept
Suite 358
Vancouver, WA 98683-8004
3333 Riverbend Dr
Springfield, OR 97477-8800
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 67.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L17704 | OR | MD | Social Worker |
| LW60985209 | WA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients |
Locations
504 Clinton Center Dr
Ste 4300
Clinton, MS 39056
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
4400 Old Canton Rd
Ste 3RD
Jackson, MS 39211
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Family Medicine Physician
- Eugene, OR
- NPI 1447207287
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1467080499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 RIVERBEND DR",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974778800",
"telephone_number": "541-222-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12040 NE 128TH ST",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343013",
"telephone_number": "206-669-4923"
}
],
"practiceLocations": [
{
"address_1": "3333 Riverbend Dr",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OR",
"postal_code": "974778800",
"country_code": "US",
"telephone_number": "541-222-2185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPICHE",
"first_name": "SUZANNE",
"middle_name": "MARIE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-27",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "L17704",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "LW60985209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.