Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Dawn Mitchell, LICSW

Individual provider Clinical Social Worker · NPI 1316135866

Lisa Dawn Mitchell, LICSW is a Clinical Social Worker in Vancouver, Washington. Qualified in 2001, 25 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
25
Licensed in
WA
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

12607 SE Mill Plain Blvd
Vancouver, WA 98684-4098
Phone: (800) 813-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 704 W 24th St, Vancouver, WA 98660-2439 — (360) 213-6824

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW00007976 (WA)

Record details

NPI number1316135866
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 10, 2007
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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