Campbell States, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50080752 Issued in DC

Practice address

1821 18TH St NW
Washington, DC 20009-5526

Phone

(202) 341-0500

Fax

(877) 637-7491

NPI assigned

Dec 18, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1114382116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73188",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200563188",
            "telephone_number": "202-341-0500",
            "fax_number": "877-637-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 18TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200095526",
            "telephone_number": "202-341-0500",
            "fax_number": "877-637-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATES",
        "first_name": "CAMPBELL",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080752",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M Stasiewicz
• Robert Stephen Stasko, M.D.
• Katelyn Staso, CPNP-AC
• Kiril Stasovskyi
• Statera Spring Valley LLC
• Statesmen College Preparatory Academy for Boys
• Andre Staton
• Brittany Lenay Staton
• Jazzmine Staton
• Loretta Staudt

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.