Catherine Phelps Campbell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

30838 Issued in TX

Practice address

400 N Allen Dr Ste 204
Allen, TX 75013-2568

Phone

(972) 233-1010

Fax

(214) 623-6692

NPI assigned

May 4, 2007

Last updated

Sep 26, 2023By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Assurasource LTDGroup PAC ID 8123125580, 61 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9609/brand/1/csg/1/fhir/r4

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.

• Assurasource LTD

  • Clinical Social Worker
  • Plano, TX
  • NPI 1194746016
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1003028713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 NEW SANGER RD",
            "address_2": "SUITE 102",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767123991",
            "telephone_number": "254-399-9540",
            "fax_number": "254-753-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N ALLEN DR STE 204",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132568",
            "telephone_number": "972-233-1010",
            "fax_number": "214-623-6692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7030 New Sanger Rd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767123991",
            "country_code": "US",
            "telephone_number": "254-399-9540",
            "fax_number": "254-753-5225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CATHERINE",
        "middle_name": "PHELPS",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "30838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1767154",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Callaway, APRN, FNP-C
• Jquita Payne Calloway, DOCTORATE
• Calming Breeze Therapy
• Cambria Health Care Inc
• Karen Cameron Petroski
• Haley Marie Campbell, BS, PTA
• Leslie Campbell, D.P.M.
• Kayla Canales, OTD, OTR
• Laquesha L Cancino
• Karen Aileen Cannon, CCC-SLP

• Clinical Social Worker in Allen, TX
• Providers in Allen, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.

Verify at the official NPI Registry.