Mary A Camper, DD, PHD, LCSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.026415

Practice address

401 E 162ND St Ste 103
South Holland, IL 60473-2237

Phone

(815) 418-6577

NPI assigned

Jan 9, 2019

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Reestablishing Hope Inc

  dba Rhi

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hazel Crest, IL
  • NPI 1528531639

  Single Specialty

  Medicare reassignment NPD Authorized official
• Keyaira Gifts & Talents Foundation

  • Community/Behavioral Health Agency
  • Richton Park, IL
  • NPI 1104406032

  Counselor

  NPD Authorized official
• Keyaira Gifts & Talents Foundation

  • Community/Behavioral Health Agency
  • Richton Park, IL
  • NPI 1922739705

  Social Worker

  NPD Authorized official
• Reestablishing Hope Inc

  • Community/Behavioral Health Agency
  • South Holland, IL
  • NPI 1235868720

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Reestablishing Hope Inc

  • Substance Abuse Rehabilitation Facility
  • Hazel Crest, IL
  • NPI 1972247310
  NPD (past) Authorized official
• Reestablishing Hope Inc.

  dba Reestablishing Hope Inc Laboratory

  • Clinical Medical Laboratory
  • South Holland, IL
  • NPI 1427796283
  NPD (past) Authorized official
• Reestablishing Hope Inc

  • Community/Behavioral Health Agency
  • Gary, IN
  • NPI 1154065597

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1417420696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17577 KEDZIE AVE STE 301",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292051",
            "telephone_number": "815-418-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 162ND ST STE 103",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732237",
            "telephone_number": "815-418-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPER",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "DD, PHD, LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2026-09-29",
        "certification_date": "2024-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "32188",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "149.026415",
            "primary": true
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynetta F Busen, LCSW
• Walter Berge Busse, DDS
• Kristen Butler
• Karen Lynn Cagle, SLP
• Cal's Medical Enterprises, Service Corporation
• Caring Shepherds Health Care Inc
• Caring Shepherds Health Care Inc
• Genaea Marie Carson
• Nina Symone Carter
• Pamela D Carter, LCSW

• Clinical Social Worker in South Holland, IL
• Providers in South Holland, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.