Jeffrey Brian Campbell, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C000479 Issued in NC

Practice address

306 W Broad St
Elizabethtown, NC 28337

Phone

(910) 862-4151

Fax

(910) 862-5470

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Clinical Social Worker

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southern Professional Counseling Services LLCGroup PAC ID 9335216944, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southern Professional Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elizabethtown, NC
  • NPI 1881623973
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1720068893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1894",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283371894",
            "telephone_number": "910-862-4151",
            "fax_number": "910-862-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W BROAD ST",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "28337",
            "telephone_number": "910-862-4151",
            "fax_number": "910-862-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JEFFREY",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002163",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Britt
• Jerri Ann Uhlir Britt, PHARM D
• Manetta Brown
• Shelley Yvonne Brown, NP-C
• Trelena Christeen Brown, PA
• Canady Family Care Inc
• Cape Fear Valley Health Medical Group LLC (Cape Fear Valley Bladen Surgical Specialists)
• Cape Fear Valley Health System Specialty Group, LLC (Bladen Sleep Disorders Clinic)
• Carolina Home Care,LLC
• Carter Clinic, P a

• Clinical Social Worker in Elizabethtown, NC
• Providers in Elizabethtown, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.