Elana Carissa Campbell, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009637 Issued in VA

Practice address

6251 E Virginia Beach Blvd Ste 401
Norfolk, VA 23502-2800

Phone

(757) 624-0420

Fax

(833) 406-3992

NPI assigned

Sep 10, 2013

Last updated

Aug 20, 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

Other names 1

• Ms. Elana Carissa Zipkin Former name

Medicare fee-for-service enrollment

Enrolled in VA, DC, NC3 enrollments

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 3

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sentara Medical GroupGroup PAC ID 8921903923, 1,396 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.

• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, DC, NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1265867220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6251 E VIRGINIA BEACH BLVD STE 401",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022800",
            "telephone_number": "757-624-0420",
            "fax_number": "833-406-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6251 E VIRGINIA BEACH BLVD STE 401",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022800",
            "telephone_number": "757-624-0420",
            "fax_number": "833-406-3992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 E Arlington Blvd",
            "address_2": "Suite L",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278585022",
            "country_code": "US",
            "telephone_number": "252-355-5111 x202",
            "fax_number": "252-355-1088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ELANA",
        "middle_name": "CARISSA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P008124",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELANA",
            "last_name": "ZIPKIN",
            "middle_name": "CARISSA",
            "prefix": "MS.",
            "credential": "MSW, LCSWA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Cameron
• Robert Michael Camp, MD
• Campbell House Inc
• Brian David Campbell, USN-IDC
• Brianna Leigh Campbell, CSA
• Jessica Marie Campbell
• Kristin Elizabeth Campbell, D.O.
• Loganbay Odell Campbell
• Michael Andrew Campbell, MD
• Sarah Elizabeth Campbell

• Clinical Social Worker in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.