Jo Campbell, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

83769 Issued in CA

Practice address

29632 E Highway 299
Round Mountain, CA 96084-8000

Phone

(530) 337-6243

NPI assigned

Oct 5, 2021

Last updated

Oct 5, 2021By the provider in NPPES

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hill Country Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Round Mountain, CA
  • NPI 1407914260

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Hill Country Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1457844318

  Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Hill Country Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Round Mountain, CA
  • NPI 1407914260
  Medicare reassignment NPD Authorized official
• Hill Country Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1568338218
  NPD Authorized official
• Hill Country Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1457844318
  NPD (past)

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1689336828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 228",
            "city": "ROUND MOUNTAIN",
            "state": "CA",
            "postal_code": "960840228",
            "telephone_number": "530-337-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29632 E HIGHWAY 299",
            "city": "ROUND MOUNTAIN",
            "state": "CA",
            "postal_code": "960848000",
            "telephone_number": "530-337-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JO",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "83769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Redding",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "29632 E Highway 299",
            "city": "Round Mountain",
            "state": "CA",
            "country_code": "US",
            "postal_code": "960848000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Redding",
            "affiliation": "N",
            "address_1": "29632 E Highway 299",
            "city": "Round Mountain",
            "state": "CA",
            "country_code": "US",
            "postal_code": "960848000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nathanial R Anderson
• Jennifer Borgeson, ACSW
• Tonya Renee Brissey, LCSW, LAADC
• Asa Mark Calkins, FNP
• Madison Campbell
• Sarah Marie Compton
• Jennifer Ann Franchuk, M.D.
• Devan Haney, PA
• Hill Country Community Clinic

• Clinical Social Worker in Round Mountain, CA
• Providers in Round Mountain, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.