Active NPI
Christina Campagnola, LCSW
- Clinical Social Worker
- Oceanside, NY
National Provider Identifier
1336228048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R022358-1
- Practice address
- 3000 Stevens St
Unit 15
Oceanside, NY 11572-2039 - Phone
- (516) 678-1855
- Fax
- (516) 442-5263
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R022358-1 | NY | Primary |
Addresses
Primary practice location
3000 Stevens St
Unit 15
Oceanside, NY 11572-2039
Mailing address
3000 Stevens St
Unit 15
Oceanside, NY 11572-2039
Phone (516) 678-1855
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5429633 | Other | NY | OXFORD |
| A300035765 | Other | NY | MEDICARE - PTAN |
| 0004970 | Other | NY | GHI / EMPIRE VALUE OPITON |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 11, 2023 through May 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R022358-1 | NY | MD | Clinical Social Worker |
| 022358 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332115200000",
"number": "1336228048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 STEVENS ST",
"address_2": "UNIT 15",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115722039",
"telephone_number": "516-678-1855",
"fax_number": "516-442-5263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 STEVENS ST",
"address_2": "UNIT 15",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115722039",
"telephone_number": "516-678-1855",
"fax_number": "516-442-5263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPAGNOLA",
"first_name": "CHRISTINA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2012-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R022358-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "5429633",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - PTAN",
"identifier": "A300035765",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI / EMPIRE VALUE OPITON",
"identifier": "0004970",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.