Active NPI
Deborah Ellen Campbell, LCSW DSW
- Social Worker
- Bayside, NY
National Provider Identifier
1487733465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R25942 LCSW
- Practice address
- 212 32 15TH Ave
Bayside, NY 11360 - Phone
- (718) 229-0342
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | R25942 LCSW | NY | Primary |
Addresses
Primary practice location
212 32 15TH Ave
Bayside, NY 11360
Mailing address
212 32 15TH Ave
Bayside, NY 11360
Phone (718) 229-0342
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093596 | Other | NY | VALUE OPTIONS |
| H772291 | Other | NY | OXFORD |
| 7400682 | Other | NY | GHI |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R25942 LCSW | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487733465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 32 15TH AVE",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "11360",
"telephone_number": "718-229-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 32 15TH AVE",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "11360",
"telephone_number": "718-229-0342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "DEBORAH",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "LCSW DSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R25942 LCSW",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "093596",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "H772291",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "7400682",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.