Individual provider Active NPI

Melissa L Campbell, DSW LCSW

  • Clinical Social Worker
  • Red Bank, NJ
National Provider Identifier
1154718393
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05599700 Issued in NJ
Practice address
46 Whitman Dr
Red Bank, NJ 07701-5544
Phone
(732) 533-9702
NPI assigned
Apr 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05599700 NJ Primary

Addresses

Primary practice location

46 Whitman Dr
Red Bank, NJ 07701-5544

Mailing address

68 White St Ste 7-235
Red Bank, NJ 07701-1656
Phone (732) 784-7869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20150615000811 NJ Practitioner - Clinical Social Worker 4880905074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4 Swimming River Rd
Suite 101
Lincroft, NJ 07738-1727
Phone (732) 784-7869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Counseling LLC Clinical CurrentSince May 15, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC PastSince May 13, 2015 Accepting new patients

Locations

4 Swimming River Rd
Ste 101
Lincroft, NJ 07738
Phone (646) 708-3846

68 White St
Ste 7235
Red Bank, NJ 07701

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1154718393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 WHITE ST STE 7-235",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011656",
            "telephone_number": "732-784-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 WHITMAN DR",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015544",
            "telephone_number": "732-533-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MELISSA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05599700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.