Lacey Danielle Campbell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C017628 Issued in NC

Practice address

3205 Freedom Dr Ste 2000
Charlotte, NC 28208-3486

Phone

(980) 257-4811

NPI assigned

Sep 18, 2023

Last updated

Dec 16, 2024By the provider in NPPES

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

Enrolled in FL

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

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Community Health Centers IncGroup PAC ID 9931017126, 32 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.

• Florida Community Health Centers Inc

  • Family Medicine Physician
  • Pahokee, FL
  • NPI 1851518211
  Medicare reassignment Care Compare group NPD
• Florida Community Health Centers Inc

  • Family Medicine Physician
  • Clewiston, FL
  • NPI 1124078571
  NPD
• Florida Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Moore Haven, FL
  • NPI 1194071944
  NPD
• Florida Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Port St Lucie, FL
  • NPI 1215986872
  NPD
• Florida Community Health Centers Inc

  • Family Medicine Physician
  • Okeechobee, FL
  • NPI 1952351306
  NPD
• The Jenkins Creative Counseling Center, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1447845821

  Clinical

  NPD (past)

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1144008582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 MCCURDY TRL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282694553",
            "telephone_number": "704-352-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 FREEDOM DR STE 2000",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083486",
            "telephone_number": "980-257-4811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6849 Fairview Rd Ste 702",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282103393",
            "country_code": "US",
            "telephone_number": "980-308-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LACEY",
        "middle_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Alexis Weaver Campbell, DO
• Jessica Campbell
• Jessica Kate Campbell, PA
• Julie Kathleen Campbell, LCSW
• Keith Mark Campbell, LCAS
• Laura Campbell, FNP-BC
• Lauren Campbell, PHARMD
• Laurie Tedder Campbell, DMD
• Linda R. Campbell, CRNA
• Margaret Campbell, PHARMD

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.
• 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.