Campbell Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CAMPBELL COUNSELING LLC

Practice address

4 Swimming River Rd Ste 101
Lincroft, NJ 07738-1727

Phone

(732) 784-7869

NPI assigned

Jun 30, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Melissa L Campbell, DSW LCSWNPI 1154718393

Title

Psychotherapist

Phone

(732) 784-7869

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Melissa L Campbell, DSW LCSW

  • Clinical Social Worker
  • Red Bank, NJ
  • NPI 1154718393

  Clinical, NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1255901302",
    "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": "4 SWIMMING RIVER RD STE 101",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "077381727",
            "telephone_number": "732-784-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "732-784-7869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Bachleda, DDS
• Kristofer Balatero, COTA/L
• David Bertone, PT
• Joel Mark Burkam, PH.D
• Anthony Michael Burniewicz, D.P.M.
• Alicia Ann Caputo, PHD
• Marissa Danielle Cavett
• Alexa Chavez
• Julia D Cintron, DMD
• CPC Behavioral Healthcare, Inc

• All providers in Lincroft, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.