Individual provider Active NPI

Brittany Noelle Campbell, LISW

  • Clinical Social Worker
  • Lebanon, OH
National Provider Identifier
1427609338
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2204023 Issued in OH
Practice address
295 Portland Blvd
Lebanon, OH 45036-8675
Phone
(513) 649-8008
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1904232 OH
Clinical Social Worker 1041C0700X I.2204023 OH Primary

Addresses

Primary practice location

295 Portland Blvd
Lebanon, OH 45036-8675

Mailing address

295 Portland Blvd
Lebanon, OH 45036-8675
Phone (513) 968-5890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230126002799 OH Practitioner - Clinical Social Worker 7719358837 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1904232OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psycho Social Therapies,LTD Clinical CurrentSince Dec 10, 2023 Accepting new patients
Psycho Social Therapies,LTD CurrentSince Dec 14, 2022 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince May 20, 2025 Accepting new patients
Access Counseling Services LLC PastSince Sep 1, 2019 Accepting new patients
Tailor Made Therapeutic Services LLC Clinical Past Accepting new patients
Access Counseling Services, LLC PastSince Sep 1, 2019 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

23715 Mercantile Rd
Ste A203
Beachwood, OH 44122
Phone (216) 292-2880

23366 Commerce Park
Ste 100B
Beachwood, OH 44122
Phone (216) 292-2880

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1427609338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 PORTLAND BLVD",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450368675",
            "telephone_number": "513-968-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 PORTLAND BLVD",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450368675",
            "telephone_number": "513-649-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "BRITTANY",
        "middle_name": "NOELLE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1904232",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2204023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

Verify at the official NPI Registry.