Lisa Campbell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

252115 Issued in KY

Practice address

4309 Lowe Rd
Louisville, KY 40220-1524

Phone

(502) 565-6134

NPI assigned

Sep 15, 2016

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

Enrolled in KY

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aurora Behavioral Health

  • Clinical Social Worker
  • Shepherdsville, KY
  • NPI 1912671751
  NPD (past)
• Morris Counseling Services PLLC

  • Community/Behavioral Health Agency
  • Union, KY
  • NPI 1538611660
  NPD (past)

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1306394689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 LOWE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201524",
            "telephone_number": "502-565-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 LOWE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201524",
            "telephone_number": "502-565-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dena Lashayne Campbell, OTR/L
• Eloise Campbell, NP,CDE,BC-ADM
• Jane Campbell
• Jean Amos Campbell, LMFT
• Keisha Nicole Campbell
• Lisa C Campbell, LPT
• Makayla Campbell
• Michael Roy Campbell, A.T.C
• Michelle Renae Campbell, DNP
• Mitchell Dale Campbell, AU.D

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.