Kellie Campbell, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

125 N Lake St
Manistique, MI 49854-1234

Phone

(906) 341-4215

NPI assigned

Mar 28, 2018

Last updated

Mar 28, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Beginnings Outpatient Therapy, LLCGroup PAC ID 0446663033, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• New Beginnings Outpatient Therapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manistique, MI
  • NPI 1346859642
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1285139642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N LAKE ST",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498541234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N LAKE ST",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498541234",
            "telephone_number": "906-341-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KELLIE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Andie Bradshaw, FNP
• Brandi Jean Brewster, LMSW
• Nora Lynn Brewster, MSW
• Adam J Burri
• Norlyn Cabonce
• Stephanie Anne Campbell, DDS
• Jennifer Lee Carlson, R.D.
• Jennifer Marie Carlson
• Melissa L Carlson, LPC
• Jennifer Lynn Casey, NP

• Clinical Social Worker in Manistique, MI
• Providers in Manistique, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.