Individual provider Active NPI

Abigail Ann Campbell, MSW, LCSW

  • Clinical Social Worker
  • Kokomo, IN
National Provider Identifier
1669553210
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005232A Issued in IN
Practice address
1601 East Dodge St
Kokomo, IN 46902-2406
Phone
(765) 434-1113
Fax
(888) 494-1134
NPI assigned
Oct 18, 2006
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34005232A IN Primary

Addresses

Primary practice location

1601 East Dodge St
Kokomo, IN 46902-2406

Mailing address

1601 East Dodge St
Kokomo, IN 46902-2406
Phone (765) 434-1113

Other names 1

  • Abigail Ann Campbell Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20090414000388 IN Practitioner - Clinical Social Worker 6305993106 Practice locations: Kokomo, IN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 E Dodge St
Campbellshealing LLC
Kokomo, IN 46902-2406
Phone (765) 434-1113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34005232AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Abigail a Campbell CurrentSince Nov 1, 2020 Accepting new patients

Locations

1601 Dodge St
Kokomo, IN 46902
Phone (765) 280-7107

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1669553210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 EAST DODGE ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022406",
            "telephone_number": "765-434-1113",
            "fax_number": "888-494-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 EAST DODGE ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022406",
            "telephone_number": "765-434-1113",
            "fax_number": "888-494-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ABIGAIL",
        "middle_name": "ANN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005232A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "CAMPBELL",
            "middle_name": "ANN",
            "credential": "MSW, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.