Individual provider Active NPI

Arlene A. Chandra

  • Clinical Social Worker
  • Vancouver, WA
National Provider Identifier
1679094668
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61052152 Issued in WA
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

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231204001600 WA Practitioner - Clinical Social Worker 4789032681 Reassigns benefits to 2 organizations
I20250915004032 OR Practitioner - Clinical Social Worker 4789032681 Reassigns benefits to 1 organization

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
CO61592237WAMDAddiction (Substance Use Disorder) Counselor
LW61052152WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Connections Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jul 25, 2025 Accepting new patients
Lifeline Connections CurrentSince Sep 25, 2023 Accepting new patients
Lifeline Connections Medical Services CurrentSince Sep 25, 2023 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.

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

Verify at the official NPI Registry.