Kristen G Campbell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW025931 Issued in PA

Practice address

311 Pennsylvania Ave E
Warren, PA 16365-2767

Phone

(814) 230-3042

NPI assigned

Oct 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverside Counseling LLCGroup PAC ID 8527319060, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Riverside Counseling, LLC

  • Community/Behavioral Health Agency
  • Warren, PA
  • NPI 1972090967

  PA

  Medicare reassignment Care Compare group NPD
• Sunrise Collaborative, LLC.

  • Clinical Social Worker
  • Warren, PA
  • NPI 1023553369

  Clinical

  NPD (past)

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1629795083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 BUENA VISTA BLVD",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163653426",
            "telephone_number": "315-916-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 PENNSYLVANIA AVE E",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652767",
            "telephone_number": "814-230-3042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "PA",
            "postal_code": "163652332",
            "country_code": "US",
            "telephone_number": "814-230-3042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KRISTEN",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel A Burns, MD
• Gail Denise Burns, D.M.D.
• Kerry Elaine Bussoletti, PA
• Margot B Butler, M.D.
• Michael G Cameron, RPH
• Cristeanna Carberry, PT, DPT
• Jacqueline Caringola, O.D.
• Kathryn E Carlson, MSW
• Nicholaus Pierce Carranza, PA-C
• Melissa Luanne Carter, DO

• All providers in Warren, PA
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.