Nicolette Campisano, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P023948 Issued in NC

Practice address

11351 Northwoods Forest Dr
Charlotte, NC 28214-8816

Phone

(980) 288-4501

NPI assigned

Jan 9, 2019

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Metamorphosis Therapy PLLC

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1790660462
  NPD (past)

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1407329667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11351 NORTHWOODS FOREST DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282148816",
            "telephone_number": "980-288-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11351 NORTHWOODS FOREST DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282148816",
            "telephone_number": "980-288-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPISANO",
        "first_name": "NICOLETTE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P023948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Denise Campbell, M.D.
• William Egbert Campbell Jr., MD
• Zachary Ryan Campbell, LPCA
• Thomas S Campion, PT, OCS
• Joanne Campione, CRNA
• Gabrielle Nicole Campo, PA-C
• Maytte Campoli, MD
• Seida Campos, SLP-A
• Campus Medical LLC
• Amilah Qua Canaday, RN

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, 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 Jul 23, 2026; 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.