Alison Jean Campbell
Individual provider Active NPI Clinical Social Worker · Hopkins, MN
NPI 1417627282 · NPPES record last updated Sep 14, 2021
Key facts
- NPI
- 1417627282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 16750 (MN)
- Practice address
- 904 Mainstreet Ste 200
Hopkins, MN 55343-7589 - Phone
- (866) 522-2472
- NPI assigned
- Sep 14, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Birch Counseling, PLLC.
Practice addresses (Care Compare)
4150 Olson Memorial Hwy
Suite 420
Golden Valley, MN 55422-4849
Phone (866) 522-2472
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231106001399 | MN | Practitioner - Clinical Social Worker | 0840647376 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16750 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birch Counseling, PLLC. | Current |
Accepting new patients |
Locations
904 Mainstreet
Ste 200
Hopkins, MN 55343
Phone (866) 522-2472
32 10th Ave S
Ste 212
Hopkins, MN 55343
Phone (612) 314-5652
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16750 | MN | Yes |
Addresses
Primary practice location
904 Mainstreet Ste 200
Hopkins, MN 55343-7589
Mailing address
904 Mainstreet Ste 200
Hopkins, MN 55343-7589
Phone (866) 522-2472
Other providers in Hopkins, MN
- Daniel Burnes
- Meredith N Butulis
- Larry Paul Caldwell
- Marcia L Callegari Bates
- Peter Allan Cameron
- Robin C Campbell
- Venedia Larita Campbell
- Damirra Mar'Ea Cannton
- Susan Kathryn Carkoski
- Casey J Oie Chiropractic PA
All providers in Hopkins, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.