Jean Marie Campbell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24550 Issued in CA

Practice address

580 Broadway St Ste 208
Laguna Beach, CA 92651-4311

Phone

(310) 909-9780

NPI assigned

Aug 11, 2026

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)

Not enrolled

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1063337095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17192 MURPHY AVE UNIT 14108",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926230406",
            "telephone_number": "310-909-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 BROADWAY ST STE 208",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926514311",
            "telephone_number": "310-909-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "24550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Emergency Physicians Medical Group
• California Emergency Physicians Medical Group
• Olivia Callister
• Cam MD
• Jose Antonio Camargo
• Kenneth Cantos, M.D.
• Maybelle Cardona Polanco
• Kathryn P Cardoza
• Carlos F Garcia DDS Inc
• Matthew Carroll

• Clinical Social Worker in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.