Crystal M Campbell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

082467-1 Issued in NY

Practice address

20 Arcampus Dr
Rochester, NY 14612-3630

Phone

(585) 225-9720

NPI assigned

Jan 26, 2007

Last updated

Jul 21, 2022By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Life Solutions Psychotherapy LCSW PLLC

  • Clinical Social Worker
  • Rochester, NY
  • NPI 1629245758
  Medicare reassignment

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497801278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14429 ROOSEVELT HWY",
            "city": "KENT",
            "state": "NY",
            "postal_code": "144779611",
            "telephone_number": "585-704-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ARCAMPUS DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146123630",
            "telephone_number": "585-225-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CRYSTAL",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082467-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00648559",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell S Campanella, D.C.
• Leeann S Campany, HIS
• Janice Elaine Campbell-Loss, MS, ANP
• Calvin Lache Campbell
• Christopher Campbell, MSED/SPED
• Debra Ann Campbell, REGISTERED NURSE- RN
• Erin Kathleen Campbell, MD, MPH
• Harry Campbell, MS, ATC, CES
• Hollie Elizabeth Campbell, NP
• James R Campbell, M.D.

• Clinical Social Worker in Rochester, NY
• Providers in Rochester, 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 Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.