Nicole Campbell, MSW, LCSWA, MACM

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P010836 Issued in NC

Practice address

4501 New Bern Ave Ste 130 #122
Raleigh, NC 27610-1550

Phone

(919) 926-8425

NPI assigned

Jun 15, 2017

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1285164806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 NEW BERN AVE STE 130 #122",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 NEW BERN AVE STE 130 #122",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101550",
            "telephone_number": "919-926-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "NICOLE",
        "credential": "MSW, LCSWA, MACM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Thaxton Campbell, PA-C
• Kyla M Campbell
• Linda Louise Campbell, MSW, LCSW
• Melissa Wilkinson Campbell, NP
• Natalie Christine Campbell, PSY.D.
• Patrisha Campbell, LCSW
• Payton Nall Campbell, SLP
• Renee Susanne Campbell, MS, LPC
• Sara Lynn Campbell
• Sharon Janell Campbell, COTA

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.