Individual provider Active NPI

Paige Campbell, LCSW

  • Clinical Social Worker
  • Athens, GA
National Provider Identifier
1639317613
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004538 Issued in GA
Practice address
598 S Milledge Ave Ste 5
Athens, GA 30605-1262
Phone
(706) 389-4509
NPI assigned
Jan 28, 2009
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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 CSW004538 GA Primary
Clinical Social Worker 1041C0700X MSW004539 GA

Addresses

Primary practice location

598 S Milledge Ave Ste 5
Athens, GA 30605-1262

Mailing address

598 S Milledge Ave Ste 5
Athens, GA 30605-1262
Phone (706) 389-4509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111103000274 GA Practitioner - Clinical Social Worker 1850564014 Reassigns benefits to 1 organization
I20250711002607 CO Practitioner - Clinical Social Worker 1850564014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

386 Buena Vista Ave
Athens, GA 30601-1710
Phone (706) 389-4509

PO Box
Suite 612
Athens, GA 30603-0612

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW004538GAMDClinical Social Worker
MSW004539GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Third Act Counseling & Consulting, LLC Clinical CurrentSince Oct 19, 2023 Accepting new patients

Locations

1500 N Grant St
Ste R
Denver, CO 80203
Phone (319) 855-7899

115 E Hancock Ave
Ste 612
Athens, GA 30601
Phone (706) 389-4509

598 S Milledge Ave
Ste 5
Athens, GA 30605
Phone (706) 353-0709

Organizations & group practices 1

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": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1639317613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 S MILLEDGE AVE STE 5",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306051262",
            "telephone_number": "706-389-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 S MILLEDGE AVE STE 5",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306051262",
            "telephone_number": "706-389-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "PAIGE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004538",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW004539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.