Individual provider Active NPI

Jolynn R. Campbell

  • Clinical Social Worker
  • Sanford, NC
National Provider Identifier
1629427067
Registry record updated Mar 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014994 Issued in NC
Practice address
130 Carbonton Rd
Sanford, NC 27330-4009
Phone
(919) 774-6521
NPI assigned
Jun 7, 2016
Last updated
Mar 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C014994 NC Primary
Clinical Social Worker 1041C0700X P014427 NC

Addresses

Primary practice location

130 Carbonton Rd
Sanford, NC 27330-4009

Mailing address

272 Pineridge CV
Sanford, NC 27332-0198

Other practice location 1

607 Wicker St
Sanford, NC 27330-4151
Phone (919) 292-2614

Other practice location 2

10 Westover Ct
Sanford, NC 27332-0605
Phone (919) 935-1570

Other practice location 3

35 Plantation Dr
Cameron, NC 28326-9428
Phone (919) 292-2614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20221220001840 NC Practitioner - Clinical Social Worker 7315316098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Southern California Keck School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brinkley Brown Mental Wellness PLLCGroup PAC ID 3173917010, 10 clinicians

Practice addresses (Care Compare)

1480 Chapel Ridge Rd
Suite 220
Apex, NC 27502-8504
Phone (919) 355-9792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C014994NCMDClinical Social Worker
P014427NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meaningful Minds Counseling, PLLC Clinical CurrentSince Nov 23, 2022 Accepting new patients
Brinkley Brown Mental Wellness PLLC Clinical CurrentSince May 23, 2024 Accepting new patients
Alexander Youth Network Past Accepting new patients

Locations

607 Wicker St
Sanford, NC 27330
Phone (919) 292-2614

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773532800000",
    "number": "1629427067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 PINERIDGE CV",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273320198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CARBONTON RD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304009",
            "telephone_number": "919-774-6521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 Wicker St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273304151",
            "country_code": "US",
            "telephone_number": "919-292-2614",
            "fax_number": "919-964-3374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Westover Ct",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273320605",
            "country_code": "US",
            "telephone_number": "919-935-1570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Plantation Dr",
            "address_purpose": "LOCATION",
            "city": "Cameron",
            "state": "NC",
            "postal_code": "283269428",
            "country_code": "US",
            "telephone_number": "919-292-2614",
            "fax_number": "919-964-3374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JOLYNN",
        "middle_name": "R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2026-03-15",
        "certification_date": "2026-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014994",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014427",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.