Individual provider Active NPI

Lauren Campbell, MSW, LSW, QMHP

  • Social Worker
  • Naperville, IL
National Provider Identifier
1659807196
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150101575 Issued in IL
Practice address
640 S Washington St
Naperville, IL 60540-6603
Phone
(815) 942-6323
Fax
(815) 942-6363
NPI assigned
May 3, 2017
Last updated
May 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150101575 IL Primary

Addresses

Primary practice location

640 S Washington St
Naperville, IL 60540-6603

Mailing address

PO Box 713260
Chicago, IL 60677-0018
Phone (630) 469-9200

Other practice location 1

1140 N McLean Blvd
Elgin, IL 60123-1782
Phone (847) 695-4552

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lcampbell259869@dulyhealthandcare.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20220518002570 IL Practitioner - Clinical Social Worker 2668859356 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150101575ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aldad Medical PC CurrentSince Mar 1, 2022 Accepting new patients
Dupage Medical Group LTD CurrentSince May 1, 2023 Accepting new patients
Dupage Medical Group LTD CurrentSince May 1, 2023 Accepting new patients
Aldad Medical PC CurrentSince Mar 1, 2022 Accepting new patients
Grow Healthcare Group PA CurrentSince Mar 29, 2023 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1500 N Halsted St
Fl 2
Chicago, IL 60642
Phone (312) 762-5335

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

159 N Sangamon St
Ste 200300
Chicago, IL 60607
Phone (872) 246-7320

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

640 S Washington St
Ste 268
Naperville, IL 60540
Phone (630) 873-8720

640 S Washington St
Naperville, IL 60540
Phone (630) 428-1500

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

Organizations & group practices 5

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": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1659807196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770018",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S WASHINGTON ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406603",
            "telephone_number": "815-942-6323",
            "fax_number": "815-942-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 N McLean Blvd",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601231782",
            "country_code": "US",
            "telephone_number": "847-695-4552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LAUREN",
        "credential": "MSW, LSW, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150101575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcampbell259869@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "640 S Washington St",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.