Individual provider Active NPI

Maria Linda Campo, LCSW, ACSW

  • Clinical Social Worker
  • Spring City, PA
National Provider Identifier
1801993431
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW012900 Issued in PA
Practice address
528 Ridge Rd
Spring City, PA 19475-9681
Phone
(610) 495-6026
Fax
(610) 495-1482
NPI assigned
Sep 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CW012900 PA Primary

Addresses

Primary practice location

528 Ridge Rd
Spring City, PA 19475-9681

Mailing address

528 Ridge Rd
Spring City, PA 19475-9681
Phone (610) 495-6026

Other identifiers 9

IdentifierTypeStateIssuer
112411OtherPAVALUE OPTIONS
001655873OtherPAHIGH MARK (FEP)
137026000OtherPAMAGELLAN
226530560OtherPAUNITED BEHAVIORAL HEALTH
2318551000OtherPABLUE CROSS
7303222OtherPAAETNA
2318551000OtherPAAMERIHEALTH
325151OtherPAMENTAL HEALTH NETWORK
001664582OtherPAPERSONAL CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110208000613 PA Practitioner - Clinical Social Worker 6507046570 Practice locations: Douglassville, PA; Spring City, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

405 Pleasant View Dr
Douglassville, PA 19518-9266
Phone (484) 949-1136

528 Ridge Rd
Spring City, PA 19475-9681
Phone (484) 949-1136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW012900PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801993431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 RIDGE RD",
            "city": "SPRING CITY",
            "state": "PA",
            "postal_code": "194759681",
            "telephone_number": "610-495-6026",
            "fax_number": "610-495-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 RIDGE RD",
            "city": "SPRING CITY",
            "state": "PA",
            "postal_code": "194759681",
            "telephone_number": "610-495-6026",
            "fax_number": "610-495-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPO",
        "first_name": "MARIA",
        "middle_name": "LINDA",
        "name_prefix": "Ms.",
        "credential": "LCSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "112411",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGH MARK (FEP)",
            "identifier": "001655873",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "137026000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "226530560",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2318551000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7303222",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2318551000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH NETWORK",
            "identifier": "325151",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "001664582",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring City, PA

Sources for this page

Verify at the official NPI Registry.