Active NPI
Arlene A. Chandra
- Clinical Social Worker
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW61052152
- Practice address
- 1601 E 4TH Plain Blvd BLDG 17
Vancouver, WA 98661-3717 - Phone
- (360) 397-8246
- NPI assigned
- Jun 29, 2017
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CO61592237 | WA | |
| Clinical Social Worker | 1041C0700X | L15045 | OR | |
| Clinical Social Worker | 1041C0700X | LW61052152 | WA | Primary |
Addresses
Primary practice location
1601 E 4TH Plain Blvd BLDG 17
Vancouver, WA 98661-3717
Mailing address
7710 NE 56TH St
Vancouver, WA 98662-6244
Phone (360) 931-0869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, 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
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO61592237 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| LW61052152 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeline Connections | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Lifeline Connections | Current | Accepting new patients | |
| Lifeline Connections Medical Services | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
11719 NE 95th St
Ste Ad
Vancouver, WA 98682
Phone (360) 984-5511
Organizations & group practices 4
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.
-
- Substance Abuse Rehabilitation Facility
- Vancouver, WA
- NPI 1689892473
-
- Community/Behavioral Health Agency
- Aberdeen, WA
- NPI 1639719743
-
- Primary Care Clinic/Center
- Vancouver, WA
- NPI 1245819887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1679094668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7710 NE 56TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626244",
"telephone_number": "360-931-0869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E 4TH PLAIN BLVD BLDG 17",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613717",
"telephone_number": "360-397-8246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDRA",
"first_name": "ARLENE",
"middle_name": "A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-29",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CO61592237",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L15045",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW61052152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.