Gina Leah Campbell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

003707 Issued in GA

Practice address

1441 29TH St Ste 213
West Des Moines, IA 50266-1330

Phone

(515) 661-4103

NPI assigned

Oct 24, 2006

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

Other identifiers 1

Other names 1

• Gina Leah Hull Former name

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.

Opted out of Medicare

Yes, effective Jan 1, 2020 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732924800000",
    "number": "1104909720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 29TH ST STE 213",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661330",
            "telephone_number": "515-661-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 29TH ST STE 213",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661330",
            "telephone_number": "515-661-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "GINA",
        "middle_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "003707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "003707",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "HULL",
            "middle_name": "LEAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paiton Calvert, ARNP
• Ries Camacho Quinones
• Collin Cameron, PHARMD
• Danielle Campbell
• Dwayne N. Campbell, M.D.
• Jacob Robert Campbell, DC
• Kay Lynn Campbell, CRNA
• Canales Associates, Inc
• Carlos Alberto Canales, PSY.D.
• Emelia S Cannon, SLP

• Clinical Social Worker in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.