Individual provider Active NPI

Allyson Maree Campbell, LCSW, LMHP

  • Social Worker
  • Omaha, NE
National Provider Identifier
1801143292
Registry record updated Jan 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2537 Issued in NE
Practice address
18025 Oak Street Suite a
Omaha, NE 68130-4423
Phone
(402) 671-0889
NPI assigned
Aug 6, 2012
Last updated
Jan 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2537 NE Primary
Clinical Social Worker 1041C0700X 8274-C AR

Addresses

Primary practice location

18025 Oak Street Suite a
Omaha, NE 68130-4423

Mailing address

1330 S 166TH St
Omaha, NE 68130-1324
Phone (870) 706-9855

Other identifiers 2

IdentifierTypeStateIssuer
227582719MedicaidAR
10026903900MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20211221000449 NE Practitioner - Clinical Social Worker 7113342353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18025 Oak St
Suite a
Omaha, NE 68130-6100
Phone (870) 706-9855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2537NEMDPhysical Therapist
1062NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allyson Campbell, LCSW, LMHP, LLC Clinical CurrentSince Dec 6, 2021 Accepting new patients
Ascent Acquisitions Corp-Cypdc Past Accepting new patients

Locations

18025 Oak St
Ste A
Omaha, NE 68130
Phone (402) 671-0889

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641686400000",
    "number": "1801143292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 S 166TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681301324",
            "telephone_number": "870-706-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18025 OAK STREET SUITE A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304423",
            "telephone_number": "402-671-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ALLYSON",
        "middle_name": "MAREE",
        "credential": "LCSW, LMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "2537",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8274-C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227582719",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026903900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.