Ryan Campbell, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

135 Webster St Ste 1
Hanover, MA 02339-1200

Phone

(781) 449-1143

NPI assigned

Aug 28, 2020

Sex

Male

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

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

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.

• Higher Ground, LLC

  • Mental Health Counselor
  • Hanover, MA
  • NPI 1386571438
  NPD Authorized official
• Colony Care Inc

  • Mental Health Counselor
  • Wellesley, MA
  • NPI 1720053408
  NPD

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1164035168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 RESERVOIR ST STE 21",
            "city": "NEEDHAM HEIGHTS",
            "state": "MA",
            "postal_code": "024943133",
            "telephone_number": "781-449-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WEBSTER ST STE 1",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391200",
            "telephone_number": "781-449-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "RYAN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2023-05-31",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Elizabeth Buchanan, LICSW
• Ronald E Bugaoan, M.D.
• Bettyann Burghardt, MS
• Kathleen Buzzeo, PT, DPT
• Aida Cajdric-Vrhovac, PH.D
• Cape Angels Home Care Services Inc
• Marci Robin Capen
• Cardinal Cushing Centers, Inc.
• Cardinal Cushing Centers, Inc.
• Cardinal Cushing Centers, Inc.

• All providers in Hanover, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.