Logan W Campbell, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P020597 Issued in NC

Practice address

307 Beech St
Goldsboro, NC 27530-2818

Phone

(252) 495-0404

NPI assigned

Aug 13, 2024

Last updated

Aug 14, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1811728637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 POINTER PL",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344770",
            "telephone_number": "804-892-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 BEECH ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275302818",
            "telephone_number": "252-495-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LOGAN",
        "middle_name": "W",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fawn Serene Callie, PA-C
• Wayne Calumag
• Calvin Graham
• Camp's Logistics, LLC
• Crystal Davis Campbell, DNP, FNP-BC
• Teresa Campbell, PHARMD
• Candj Management
• Lisa Cantrell
• Micaela Capps
• Capturing Hearts Community Services

• Clinical Social Worker in Goldsboro, NC
• Providers in Goldsboro, 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 14, 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.