Elizabeth C Campbell, LSW
Individual provider Active NPI Social Worker · La Salle, IL
NPI 1831836220 · NPPES record last updated Feb 13, 2023
Key facts
- NPI
- 1831836220
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 150105648 (IL)
- Practice address
- 2428 Chartres St
La Salle, IL 61301-1107 - Phone
- (815) 780-8765
- NPI assigned
- May 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150105648 | IL | MD | Social Worker |
| 2501856 | IL | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Play It Forward Counseling LLC | Current | Accepting new patients | |
| Life Balance Counseling and Wellness Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 2501856 | IL | |
| Social Worker | 104100000X | 150105648 | IL | Yes |
Addresses
Primary practice location
2428 Chartres St
La Salle, IL 61301-1107
Mailing address
618 N 2ND St
Chillicothe, IL 61523-2130
Phone (309) 857-8828
Other names
- Lizzy Campbell
Other providers in La Salle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.