Nancy Campbell, LICSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW 00007106 Issued in WA

Practice address

19410 NE 116TH St
Brush Prairie, WA 98606-3002

Phone

(503) 729-4460

NPI assigned

Jun 16, 2016

Last updated

Jun 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• A Better Way Counseling Service

  • Mental Health Counselor
  • Vancouver, WA
  • NPI 1265877310

  Clinical

  NPD (past)

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1932559226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19410 NE 116TH ST",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986063002",
            "telephone_number": "503-729-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19410 NE 116TH ST",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986063002",
            "telephone_number": "503-729-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "NANCY",
        "credential": "LICSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 00007106",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3635SR",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Lynn Brill
• Jennifer Ann Brown, CRNA, MS
• Richard James Brown, CRNA
• Natalya Budey
• Lindsay Marie Caddel, M.S. SLP-CCC
• Susan Eileen Chamberlain
• Janell S Chandler, DC
• Ingrid Larraine Colvard, LICSW
• Comfort Life LLC
• Sarah Cook, MOTR/L

• Clinical Social Worker in Brush Prairie, WA
• Providers in Brush Prairie, 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 Jun 16, 2016; 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.