Individual provider Active NPI

Leslie A. Campbell, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1275722969
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 28096 Issued in CA
Practice address
3815 Georgia St
Apt 102
San Diego, CA 92103-7614
Phone
(619) 820-7770
Fax
(619) 955-8520
NPI assigned
Oct 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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 LCS 28096 CA Primary

Addresses

Primary practice location

3815 Georgia St
Apt 102
San Diego, CA 92103-7614

Mailing address

3815 Georgia St
Apt 102
San Diego, CA 92103-7622
Phone (619) 820-7770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 28096CAMDClinical Social Worker
28096CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1275722969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 GEORGIA ST",
            "address_2": "APT 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921037622",
            "telephone_number": "619-820-7770",
            "fax_number": "619-955-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 GEORGIA ST",
            "address_2": "APT 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921037614",
            "telephone_number": "619-820-7770",
            "fax_number": "619-955-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LESLIE",
        "middle_name": "A.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 28096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.