Active NPI
Shawna M Campbell
- Clinical Social Worker
- Torrance, CA
National Provider Identifier
1821570896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ACSW76257
- Practice address
- 24050 Madison St Ste 210
Torrance, CA 90505-6017 - Phone
- (702) 373-5396
- NPI assigned
- Sep 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ACSW76257 | CA | Primary |
Addresses
Primary practice location
24050 Madison St Ste 210
Torrance, CA 90505-6017
Mailing address
24050 Madison St Ste 210
Torrance, CA 90505-6017
Phone (702) 373-5396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240221001577 | CA | Practitioner - Clinical Social Worker | 0648614305 | Practice locations: Ojai, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACSW76257 | CA | MD | Clinical Social Worker |
| 109897 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1821570896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24050 MADISON ST STE 210",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905056017",
"telephone_number": "702-373-5396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24050 MADISON ST STE 210",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905056017",
"telephone_number": "702-373-5396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "SHAWNA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-05",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ACSW76257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.