Ingrid Sharon Campbell, L-CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

RO42678-1 Issued in NY

Practice address

101 Seaview Ter
Northport, NY 11768-2932

Phone

(631) 423-2817

Fax

(631) 423-2817

NPI assigned

Apr 26, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1003036658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SEAVIEW TERRACE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117689797",
            "telephone_number": "631-423-2817",
            "fax_number": "631-423-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SEAVIEW TER",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682932",
            "telephone_number": "631-423-2817",
            "fax_number": "631-423-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "INGRID",
        "middle_name": "SHARON",
        "credential": "L-CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO42678-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan George Bush, M.D.
• Peter G Butera, DO
• Taylor Leigh Byrnes, L.AC, LMT
• Jill Frances Cahill, LCSW
• Sanja Cale Still, PHD
• Patrick C Campbell, R.T.
• Valerie Marie Campos, RN
• John Everett Cancroft, D.D.S.
• Ryan Canedo
• Carl F Cannata, RPA-C

• Clinical Social Worker in Northport, NY
• Providers in Northport, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.