Individual provider Active NPI

Marissa Campbell

  • Clinical Social Worker
  • Hyannis, MA
National Provider Identifier
1427717560
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW1142494 Issued in MA
Practice address
259A North St
Hyannis, MA 02601-3823
Phone
(508) 862-0514
NPI assigned
Dec 16, 2021
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LICSW1142494 MA Primary

Addresses

Primary practice location

259A North St
Hyannis, MA 02601-3823

Mailing address

50 Nobby LN
West Yarmouth, MA 02673-3523
Phone (508) 360-8447

Other practice location 1

50 Nobby Ln
West Yarmouth, MA 02673-3523
Phone (508) 360-8447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20260506000441 MA Practitioner - Clinical Social Worker 3779051925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Pittsburgh, PA 15251

PO Box
223941 500 Ross St 154 0455
Pittsburgh, PA 15251-2941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW1142494MAMDClinical Social Worker

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": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1427717560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NOBBY LN",
            "city": "WEST YARMOUTH",
            "state": "MA",
            "postal_code": "026733523",
            "telephone_number": "508-360-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259A NORTH ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013823",
            "telephone_number": "508-862-0514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Nobby Ln",
            "address_purpose": "LOCATION",
            "city": "West Yarmouth",
            "state": "MA",
            "postal_code": "026733523",
            "country_code": "US",
            "telephone_number": "508-360-8447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-16",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1142494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.