Individual provider Active NPI

Cassandra Campbell, LISW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1235884164
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2506823 Issued in OH
Practice address
1385 King Ave
Columbus, OH 43212-2220
Phone
(330) 936-5825
NPI assigned
Feb 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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 I.2506823 OH Primary

Addresses

Primary practice location

1385 King Ave
Columbus, OH 43212-2220

Mailing address

1385 King Ave
Columbus, OH 43212-2220
Phone (330) 936-5825

Other identifiers 1

IdentifierTypeStateIssuer
I.2506823OtherOHCOUNSELOR SOCIAL WORKER AND MARRIAGE AND FAMILY BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20251013003735 OH Practitioner - Clinical Social Worker 1759878820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1385 King Ave
Columbus, OH 43212-2220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cassandra Campbell Counseling LLC Clinical CurrentSince Sep 8, 2025 Accepting new patients

Locations

1385 King Ave
Columbus, OH 43212
Phone (330) 936-5825

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1235884164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 KING AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122220",
            "telephone_number": "330-936-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 KING AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122220",
            "telephone_number": "330-936-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CASSANDRA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2506823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR SOCIAL WORKER AND MARRIAGE AND FAMILY BOARD",
            "identifier": "I.2506823",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.