Individual provider Active NPI

Chanell Lanette Underwood

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1801591243
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P018837 Issued in NC
Practice address
100 N Howard St # 4719
Spokane, WA 99201-0508
Phone
(509) 210-2228
NPI assigned
Apr 4, 2023
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC61675386 WA
Clinical Social Worker 1041C0700X 110040 TX
Clinical Social Worker 1041C0700X P018837 NC Primary

Addresses

Primary practice location

100 N Howard St # 4719
Spokane, WA 99201-0508

Mailing address

7413 Six Forks Rd
Raleigh, NC 27615-6164
Phone (919) 914-1476

Other practice location 1

7413 Six Forks Rd
Raleigh, NC 27615-6164
Phone (919) 914-1476

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
I20251219002949 WA Practitioner - Clinical Social Worker 6406357888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 N Howard St
Spokane, WA 99201-0508

6801 Shane Dr
Raleigh, NC 27610-8719

PMB
325 7413 Six Forks Rd
Raleigh, NC 27615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P018837NCMDClinical Social Worker
110040TXMDClinical Social Worker
SC61675386WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
House of Rachael & Associates Counseling PLLC Clinical CurrentSince Oct 13, 2025 Accepting new patients

Locations

100 N Howard St
Spokane, WA 99201
Phone (206) 201-1163

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1801591243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7413 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156164",
            "telephone_number": "919-914-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N HOWARD ST # 4719",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010508",
            "telephone_number": "509-210-2228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7413 Six Forks Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276156164",
            "country_code": "US",
            "telephone_number": "919-914-1476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "CHANELL",
        "middle_name": "LANETTE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61675386",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "110040",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.