Carolyn Campbell, MSW,ACSW,BCD,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

112 E Chestnut St
Chicago, IL 60611-2014

Phone

(312) 787-2729

Fax

(312) 943-4459

NPI assigned

Mar 16, 2007

Last updated

Jul 8, 2007By 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 IL

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

Specialty

Clinical Social Worker

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Paul V. Harris, PSYD, P.C.Group PAC ID 3678969409, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Paul V. Harris, PSYD, P.C.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1427295260
  Medicare reassignment Care Compare group NPD
• Heritage Professional Associates LTD

  • Psychologist
  • Hinsdale, IL
  • NPI 1033244173
  Medicare reassignment NPD
• Carolyn M Campbell PC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1245451137
  NPD (past) Authorized official

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528182771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 W IRVING PARK RD APT E8",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133159",
            "telephone_number": "773-472-8725",
            "fax_number": "773-472-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E CHESTNUT ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112014",
            "telephone_number": "312-787-2729",
            "fax_number": "312-943-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "MSW,ACSW,BCD,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "02215636",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber A Campbell
• Amy Campbell, DNP
• Anne Francis Campbell
• Camille Campbell
• Carli M Campbell, LCPC
• Channon Michelle Lee Campbell, CNM, MSN, RN, MPH
• Charles D Campbell, M.D.
• Chelsea Campbell, PA-C
• Christopher James Campbell, PHARM.D.
• Claire Yvonne Campbell, D.C.

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.