Rachel Rene Campbell, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW22857 Issued in FL

Practice address

2290 10TH Ave N Ste 601
Lake Worth, FL 33461-6618

Phone

(561) 823-3178

NPI assigned

Oct 18, 2012

Last updated

Oct 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ellie PBC LLCGroup PAC ID 9436593563, 7 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.

• Ellie PBC LLC

  dba Ellie Mental Health - Lake Worth Florida

  • Mental Health Counselor
  • Lake Worth, FL
  • NPI 1942081872
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1255684049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 EXPRESS DR",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284706501",
            "telephone_number": "910-755-5222",
            "fax_number": "910-755-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 10TH AVE N STE 601",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616618",
            "telephone_number": "561-823-3178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3640 Express Dr",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "284706501",
            "country_code": "US",
            "telephone_number": "910-755-5222",
            "fax_number": "910-755-5255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "RACHEL",
        "middle_name": "RENE",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P006702",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Camacho
• Andrea Marie Camicia-Logue, MS.OTR/L
• Carline Camille
• Ketly Camille, RN
• Esther Camilus, PMHNP-BC
• Rushelle Campbell
• Shelley Scott Campbell, OTR/L
• Amanda De la Caridad Campos Sanchez
• Campus Recovery LLC
• Can Community Health, Inc.

• Clinical Social Worker in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.