Active NPI
Trisha M Campbell I, LISW
- Clinical Social Worker
- Circleville, OH
National Provider Identifier
1386776706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.0700205
- Practice address
- 145 Morris Rd
Spvmhc
Circleville, OH 43113-1363 - Phone
- (740) 474-8874
- Fax
- (740) 477-1463
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 | I.0700205 | OH | Primary |
Addresses
Primary practice location
145 Morris Rd
Spvmhc
Circleville, OH 43113-1363
Mailing address
145 Morris Rd
Spvmhc
Circleville, OH 43113-1363
Phone (740) 474-8874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08258 | Other | OH | MACSIS |
Other names 1
- Trisha M Pickenpaugh
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
| License | State | Type | Specialty |
|---|---|---|---|
| I.0700205 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scioto Paint Valley Mental Health Center | Past | Accepting new patients | |
| Scioto Paint Valley Mental Health Center | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/spvmhc/r4/
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Chillicothe, OH
- NPI 1255308136
-
- Primary Care Clinic/Center
- Chillicothe, OH
- NPI 1790116747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223251200000",
"number": "1386776706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 MORRIS RD",
"address_2": "SPVMHC",
"city": "CIRCLEVILLE",
"state": "OH",
"postal_code": "431131363",
"telephone_number": "740-474-8874",
"fax_number": "740-474-1463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 MORRIS RD",
"address_2": "SPVMHC",
"city": "CIRCLEVILLE",
"state": "OH",
"postal_code": "431131363",
"telephone_number": "740-474-8874",
"fax_number": "740-477-1463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "TRISHA",
"middle_name": "M",
"name_suffix": "I",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2008-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.0700205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MACSIS",
"identifier": "08258",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRISHA",
"last_name": "PICKENPAUGH",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Circleville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.