Individual provider Active NPI

Sallie Campbell, LISW-CP, LMFT

  • Social Worker
  • Charleston, SC
National Provider Identifier
1437267481
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
63 Issued in SC
Practice address
3 Gamecock Ave
Suite 304-B
Charleston, SC 29407-3378
Phone
(843) 224-8315
Fax
(843) 881-3092
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 63 SC Primary

Addresses

Primary practice location

3 Gamecock Ave
Suite 304-B
Charleston, SC 29407-3378

Mailing address

940 Night Heron Dr
Mt Pleasant, SC 29464-4106
Phone (843) 224-8315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1437267481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 NIGHT HERON DR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644106",
            "telephone_number": "843-224-8315",
            "fax_number": "843-881-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GAMECOCK AVE",
            "address_2": "SUITE 304-B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073378",
            "telephone_number": "843-224-8315",
            "fax_number": "843-881-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SALLIE",
        "credential": "LISW-CP, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "63",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.