Individual provider Active NPI

Jennifer Campbell, LCSW

  • Clinical Social Worker
  • Penndel, PA
National Provider Identifier
1457510224
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017831 Issued in PA
Practice address
1517 Durham Rd
Penndel, PA 19047-5707
Phone
(267) 569-1782
Fax
(215) 752-7195
NPI assigned
Jun 5, 2008
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW017831 PA Primary
Counselor 101Y00000X

Addresses

Primary practice location

1517 Durham Rd
Penndel, PA 19047-5707

Mailing address

2005 Cabot Blvd W Ste 100
Langhorne, PA 19047-1898
Phone (267) 587-2300

Other practice location 1

919 Durham Rd
Penndel, PA 19047-5738
Phone (267) 569-3912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20140226001300 PA Practitioner - Clinical Social Worker 9638309297 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1457510224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 CABOT BLVD W STE 100",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471898",
            "telephone_number": "267-587-2300",
            "fax_number": "215-752-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 DURHAM RD",
            "city": "PENNDEL",
            "state": "PA",
            "postal_code": "190475707",
            "telephone_number": "267-569-1782",
            "fax_number": "215-752-7195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "919 Durham Rd",
            "address_purpose": "LOCATION",
            "city": "Penndel",
            "state": "PA",
            "postal_code": "190475738",
            "country_code": "US",
            "telephone_number": "267-569-3912",
            "fax_number": "267-295-4076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017831",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penndel, PA

Sources for this page

Verify at the official NPI Registry.