Lucile M Campbell Decock, LADC LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

087444 Issued in NY

Practice address

24 Hamilton St
Saratoga Springs, NY 12866

Phone

(518) 886-5601

Fax

(518) 886-5805

NPI assigned

Jul 22, 2016

Last updated

Oct 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 26, 2019 through Aug 26, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1477906683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HAMILTON ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664226",
            "telephone_number": "518-886-5601",
            "fax_number": "518-886-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HAMILTON ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "12866",
            "telephone_number": "518-886-5601",
            "fax_number": "518-886-5805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Hamilton St",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "12866",
            "country_code": "US",
            "telephone_number": "518-886-5601",
            "fax_number": "518-886-5805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL DECOCK",
        "first_name": "LUCILE",
        "middle_name": "M",
        "credential": "LADC LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian P Byrne, D.M.D.
• Samuel Smith Caldwell, M.D.
• Robert Allan Calhoun, MD
• Michele Denise Cameron, PTA
• Lisa W Camp
• Barbara Elaine Campbell, RN
• Patrick Colin Campbell, D.C.
• John T Canfield, PHARMACIST
• Michael J Canfield, MD
• Brooke Badgett Cannie, M.A. CCC-SLP

• Clinical Social Worker in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.