Active NPI
Paige Campbell, LCSW
- Clinical Social Worker
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW004538
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 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, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW004538 | GA | MD | Clinical Social Worker |
| MSW004539 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Third Act Counseling & Consulting, LLC | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.