Olivia Campbell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW17555 Issued in FL

Practice address

2008 Riverside Ave Ste 100
Jacksonville, FL 32204-4439

Phone

(912) 674-5698

NPI assigned

Oct 26, 2023

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

Not listed in the public Medicare enrollment file

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.

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• River'S Edge Counseling, PLLC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1548958168

  Clinical

  NPD
• Demko Counseling LLC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1629882915
  NPD (past)
• Metro Pavia Healthcare Center

  • General Practice Physician
  • Jacksonville, FL
  • NPI 1962807503
  NPD (past)
• River'S Edge Counseling, PLLC

  • Mental Health Counselor
  • Orange Park, FL
  • NPI 1396155768
  NPD (past)

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1093587768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13444 GRAN BAY PKWY APT 210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322586494",
            "telephone_number": "916-865-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 RIVERSIDE AVE STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044439",
            "telephone_number": "912-674-5698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Corsair Ln",
            "address_purpose": "LOCATION",
            "city": "Middleburg",
            "state": "FL",
            "postal_code": "320688555",
            "country_code": "US",
            "telephone_number": "904-274-1423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "OLIVIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW17555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynell L Campbell, OT
• Markia Campbell
• McKenzee Campbell
• Michelle Denise Campbell, LMHC
• Nikkita Campbell
• Richard Antonio Campbell, RPH
• Salia Nicole Campbell
• Shannon Campbell, NP
• Sonya Lakeisha Campbell
• Tony Maurice Campbell

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.