Individual provider Active NPI

Catina A. Campbell, LCSW

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1770718413
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7982-C Issued in NV
Practice address
601 W Moana LN Ste 9
Reno, NV 89509-4959
Phone
(775) 287-8270
Fax
(775) 201-9205
NPI assigned
May 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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 7982-C NV Primary

Addresses

Primary practice location

601 W Moana LN Ste 9
Reno, NV 89509-4959

Mailing address

601 W Moana LN Ste 9
Reno, NV 89509-4959
Phone (775) 287-8270

Other practice location 1

975 Kirman Ave
Reno, NV 89502-0993
Phone (775) 786-7200 ext. 2923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20160830001399 NV Practitioner - Clinical Social Worker 1759676729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Behavioral HealthGroup PAC ID 2860738507, 3 clinicians

Practice addresses (Care Compare)

601 W Moana LN
Suite 9
Reno, NV 89509-4959
Phone (775) 433-2099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7982-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Behavioral Health CurrentSince Mar 9, 2019 Accepting new patients

Locations

601 W Moana Ln
Ste 9
Reno, NV 89509
Phone (775) 287-8270

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1770718413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W MOANA LN STE 9",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094959",
            "telephone_number": "775-287-8270",
            "fax_number": "775-201-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W MOANA LN STE 9",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094959",
            "telephone_number": "775-287-8270",
            "fax_number": "775-201-9205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Kirman Ave",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895020993",
            "country_code": "US",
            "telephone_number": "775-786-7200 x2923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CATINA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7982-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.