Active NPI
Dianne E. Campbell, LCSW
- Clinical Social Worker
- Harker Heights, TX
National Provider Identifier
1689757478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 08526
- Practice address
- 880 Prospector Trail
Suite 100
Harker Heights, TX 76548 - Phone
- (254) 690-1512
- Fax
- (254) 690-1532
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 08526 | TX | Primary |
Addresses
Primary practice location
880 Prospector Trail
Suite 100
Harker Heights, TX 76548
Mailing address
880 Prospector Trail
Suite 100
Harker Heights, TX 76548
Phone (254) 690-1512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1082372-02 | Medicaid | TX |
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 |
|---|---|---|---|
| 08526 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1689757478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 PROSPECTOR TRAIL",
"address_2": "SUITE 100",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "76548",
"telephone_number": "254-690-1512",
"fax_number": "254-690-1532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 PROSPECTOR TRAIL",
"address_2": "SUITE 100",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "76548",
"telephone_number": "254-690-1512",
"fax_number": "254-690-1532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "DIANNE",
"middle_name": "E.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "08526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1082372-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harker Heights, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.