Elisa Clarice Campbell, MSW, LSWAIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SWIA.SC.61551386 Issued in WA

Practice address

811 1St Ave Ste 464
Seattle, WA 98104-1561

Phone

(425) 582-2041

NPI assigned

May 28, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Pacific Mental Health Oregon LLC

  • Counselor
  • Portland, OR
  • NPI 1811776933
  NPD
• Pacific Mental Health LLC

  • Mental Health Counselor
  • Lynnwood, WA
  • NPI 1255987368
  NPD (past)

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1558101535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 196TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 1ST AVE STE 464",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041561",
            "telephone_number": "425-582-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ELISA",
        "middle_name": "CLARICE",
        "credential": "MSW, LSWAIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWIA.SC.61551386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Grant Campbell, MD
• Dana Campbell, LMHC
• Darcy Campbell, MD
• Donna Dianne Campbell, MA, NAR, HCA
• Durell Campbell, AGENCY AFFILIATION
• Elise B Campbell
• Erika Juliet Campbell, ED.D, MA, LMHC
• Floyd Vance Campbell, PBT
• Hilda Campbell, PHD
• Holly Hazard Campbell, LMHC

• 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 May 28, 2024; 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.