Carolyn M Campbell PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CAROLYN M CAMPBELL PC

Practice address

684 W Irving Park Rd
E8
Chicago, IL 60613-3159

Phone

(773) 472-8725

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Carolyn M Campbell, MSW,ACSW,BCD,LCSWNPI 1528182771

Title

Owner

Phone

(773) 472-8725

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn Campbell, MSW,ACSW,BCD,LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1528182771
  NPD (past) Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245451137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 W IRVING PARK RD",
            "address_2": "E8",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133159",
            "telephone_number": "773-472-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 W IRVING PARK RD",
            "address_2": "E8",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133159",
            "telephone_number": "773-472-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN M CAMPBELL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-472-8725",
        "authorized_official_credential": "MSW,ACSW,BCD,LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Aiken LCSW PLLC
• Caroline Nawara MD, S.C.
• Olivia Lynn Carollo, PSYD
• Carols Touch Home Aide & Home Care Services, LLC
• Carolyn E Placko LCSW PC (Shared Journey Services PC)
• Katherine Elizabeth Carome
• Elaina Caron, M.S CCC-SLP
• Elzbieta Marlena Carothers, APRN, CNP
• Shawanda Carothers, RDH
• Raven-Deneice Grant Carouthers, DDS

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.