Individual provider Active NPI

Alysa Rey Mickey, LICSW

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1508333071
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61539180 Issued in WA
Practice address
922 S Cowley St Ste 9
Spokane, WA 99202-1263
Phone
(509) 822-6777
Fax
(509) 676-6655
NPI assigned
Nov 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CG60797144 WA
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X LW61539180 WA Primary

Addresses

Primary practice location

922 S Cowley St Ste 9
Spokane, WA 99202-1263

Mailing address

922 S Cowley St Ste 9
Spokane, WA 99202-1263
Phone (509) 822-6777

Other practice location 1

5901 N Lidgerwood St Ste 115
Spokane, WA 99208-1122
Phone (509) 838-4651

Other practice location 2

505 N Argonne Rd Ste B206
Spokane Valley, WA 99212-2873
Phone (509) 838-4651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241016000917 WA Practitioner - Clinical Social Worker 9830621861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CG60797144WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Perspectives Counseling PLLC Clinical Current Accepting new patients
Frontier Behavioral Health Clinical Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1508333071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 S COWLEY ST STE 9",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021263",
            "telephone_number": "509-822-6777",
            "fax_number": "509-676-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 S COWLEY ST STE 9",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021263",
            "telephone_number": "509-822-6777",
            "fax_number": "509-676-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 N Lidgerwood St Ste 115",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992081122",
            "country_code": "US",
            "telephone_number": "509-838-4651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 N Argonne Rd Ste B206",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992122873",
            "country_code": "US",
            "telephone_number": "509-838-4651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICKEY",
        "first_name": "ALYSA",
        "middle_name": "REY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG60797144",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61539180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.