Active NPI
Madeleine Rose Campbell Trujillo, LCSW
- Clinical Social Worker
- Long Island City, NY
National Provider Identifier
1578062022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 104808
- Practice address
- 4470 21St St # 3156
Long Island City, NY 11101-5114 - Phone
- (516) 847-4438
- NPI assigned
- Feb 9, 2018
- Last updated
- Jul 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089363 | NY | |
| Clinical Social Worker | 1041C0700X | 104808 | CA | Primary |
Addresses
Primary practice location
4470 21St St # 3156
Long Island City, NY 11101-5114
Mailing address
4470 21St St # 3156
Long Island City, NY 11101-5114
Phone (347) 224-5214
Other practice location 1
3223 W 6th St Ste 101
Los Angeles, CA 90020-5000
Phone (516) 847-4438
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 |
|---|---|---|---|
| 104808 | CA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madeleine Campbell LCSW PLLC | Clinical | Current | Accepting new patients |
| New Pathways Counseling Center | Social Worker | Past | Accepting new patients |
Locations
4470 21st St
Long Island City, NY 11101
Phone (646) 389-6622
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Astoria, NY
- NPI 1962374991
-
- Social Worker
- Brooklyn, NY
- NPI 1689708141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1578062022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4470 21ST ST # 3156",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111015114",
"telephone_number": "347-224-5214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4470 21ST ST # 3156",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111015114",
"telephone_number": "516-847-4438"
}
],
"practiceLocations": [
{
"address_1": "3223 W 6th St Ste 101",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900205000",
"country_code": "US",
"telephone_number": "516-847-4438",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL TRUJILLO",
"first_name": "MADELEINE",
"middle_name": "ROSE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-09",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "089363",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "104808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.