Active NPI
Robert Patrick Campbell, L.I.S.W.
- Social Worker
- Marion, OH
National Provider Identifier
1679679302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I0005129
- Practice address
- 685 Delaware Ave
Suite 113
Marion, OH 43302-5073 - Phone
- (740) 223-1322
- Fax
- (740) 223-1332
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | I0005129 | OH | Primary |
Addresses
Primary practice location
685 Delaware Ave
Suite 113
Marion, OH 43302-5073
Mailing address
685 Delaware Ave
Suite 113
Marion, OH 43302-5073
Phone (740) 223-1322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800885309-00 | Other | OH | BUREAU OF WORKERS' COMPENSATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0005129 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363651200000",
"number": "1679679302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 DELAWARE AVE",
"address_2": "SUITE 113",
"city": "MARION",
"state": "OH",
"postal_code": "433025073",
"telephone_number": "740-223-1322",
"fax_number": "740-223-1332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 DELAWARE AVE",
"address_2": "SUITE 113",
"city": "MARION",
"state": "OH",
"postal_code": "433025073",
"telephone_number": "740-223-1322",
"fax_number": "740-223-1332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "ROBERT",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "L.I.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2013-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I0005129",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUREAU OF WORKERS' COMPENSATION",
"identifier": "800885309-00",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.