Individual provider Active NPI

Brett Thomas Campbell, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1407227416
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2018017502 Issued in MO
Practice address
4240 Blue Ridge Blvd Ste 720
Kansas City, MO 64133-1701
Phone
(816) 500-6436
NPI assigned
Oct 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X AR
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X 2018017502 MO Primary

Addresses

Primary practice location

4240 Blue Ridge Blvd Ste 720
Kansas City, MO 64133-1701

Mailing address

4240 Blue Ridge Blvd Ste 720
Kansas City, MO 64133-1701
Phone (816) 500-6436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20180803002987 MO Practitioner - Clinical Social Worker 8022366244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Therapeutic Services LLCGroup PAC ID 5395098982, 4 clinicians

Practice addresses (Care Compare)

12401 E 43Rd St S
Suite 121
Independence, MO 64055-5925
Phone (816) 500-6436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018017502MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Therapeutic Services, LLC Clinical CurrentSince Apr 1, 2025 Accepting new patients

Locations

12401 E 43rd St S
Ste 121
Independence, MO 64055
Phone 8165006436 ext. 06426

4240 Blue Ridge Blvd
Ste 720
Kansas City, MO 64133

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1407227416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 BLUE RIDGE BLVD STE 720",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641331701",
            "telephone_number": "816-500-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 BLUE RIDGE BLVD STE 720",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641331701",
            "telephone_number": "816-500-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "BRETT",
        "middle_name": "THOMAS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-16",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018017502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.