Joette Scott Campbell, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR013264-1 Issued in NY

Practice address

11 Sampson St
Oyster Bay, NY 11771-2905

Phone

(516) 922-6695

NPI assigned

Oct 28, 2005

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

Other names 1

• Ms. Joette Scott Campbell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1669463733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SAMPSON ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712905",
            "telephone_number": "516-922-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SAMPSON ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712905",
            "telephone_number": "516-922-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JOETTE",
        "middle_name": "SCOTT",
        "name_prefix": "Ms.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR013264-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOETTE",
            "last_name": "CAMPBELL",
            "middle_name": "SCOTT",
            "prefix": "MS.",
            "credential": "LCSWR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Clinical Social Worker in Oyster Bay, NY
• Providers in Oyster Bay, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.