Sophia Marie Campbell, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P02068 Issued in NC

Practice address

2500 Summit Ave
Greensboro, NC 27405-4522

Phone

(336) 621-2500

Fax

(336) 621-4516

NPI assigned

Sep 11, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sophia Marie Ison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Authoracare Collective

  • Community Based Hospice Care Agency
  • Greensboro, NC
  • NPI 1093774614
  NPD (past)
• Authoracare Collective

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Greensboro, NC
  • NPI 1194459461

  Clinical

  NPD (past)

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1801622287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 SUMMIT AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054522",
            "telephone_number": "336-621-2500",
            "fax_number": "336-621-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SUMMIT AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054522",
            "telephone_number": "336-621-2500",
            "fax_number": "336-621-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SOPHIA",
        "middle_name": "MARIE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P02068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "ISON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Debra Roten Campbell, SW
• Erin Billups Campbell, NP-C
• Helen Jocelyn Campbell, M.A., N.C.L.P.A.
• John Franklin Campbell, MD
• John W Campbell, D.D.S
• Taylor Campellone
• Diane L Campo
• Kevin Michael Campos, MD
• Wayne Canady
• Megan Ann Frenia Candelario

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, 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 Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.