Jill Lorene Campbell, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S0030267 Issued in OH

Practice address

16362 Park Way
East Liverpool, OH 43920-8959

Phone

(330) 506-8769

NPI assigned

Jan 20, 2015

Last updated

Jan 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in OH

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbiana County Mental Health ClinicGroup PAC ID 4385622265, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Columbiana County Mental Health Clinic

  dba The Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lisbon, OH
  • NPI 1508827932
  Medicare reassignment Care Compare group NPD
• Community Action Agency of Columbiana County Inc

  dba CAA Health Center at Lisbon

  • Federally Qualified Health Center (FQHC)
  • Lisbon, OH
  • NPI 1821041401
  Medicare reassignment NPD
• Community Action Agency of Columbiana County Inc

  dba United Local School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Hanoverton, OH
  • NPI 1225914112
  NPD
• Community Action Agency of Columbiana County, Inc

  dba CAA Campus Building #2

  • Federally Qualified Health Center (FQHC)
  • East Liverpool, OH
  • NPI 1841780863
  NPD

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1083003669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16362 PARK WAY",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439208959",
            "telephone_number": "330-506-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16362 PARK WAY",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439208959",
            "telephone_number": "330-506-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JILL",
        "middle_name": "LORENE",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S0030267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C a Cahall MD, Inc
• Anna Hambleton Cahall, D.M.D.
• Clement Albert Cahall, M.D.
• Calcutta Volunteer Fire Department
• Jeffrey S Caldwell, DMD
• Sunnie Canup
• Teresa L Carr
• Timothy Carr, OTA/L
• Madisyn Carter, LPC
• Roben Lee Carter Sr., LISW

• Clinical Social Worker in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.