Active NPI
Ayodele N Campbell, LMSW
- Clinical Social Worker
- Flushing, NY
National Provider Identifier
1831842038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 099278
- Practice address
- 6744 164TH St Apt 1F
Flushing, NY 11365-3141 - Phone
- (347) 753-0885
- NPI assigned
- Jan 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 111377-01 | NY | |
| Clinical Social Worker | 1041C0700X | 099278 | NY | Primary |
Addresses
Primary practice location
6744 164TH St Apt 1F
Flushing, NY 11365-3141
Mailing address
6744 164TH St Apt 1F
Flushing, NY 11365-3141
Phone (347) 753-0885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111377-01 | NY | MD | Social Worker |
| 099278 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1831842038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6744 164TH ST APT 1F",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113653141",
"telephone_number": "347-753-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6744 164TH ST APT 1F",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113653141",
"telephone_number": "347-753-0885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "AYODELE",
"middle_name": "N",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-28",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "111377-01",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "099278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.