Adam Webster Campbell, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P019313 Issued in NC

Practice address

1771 Tate Blvd SE Ste 202
Hickory, NC 28602-4250

Phone

(828) 758-1320

Fax

(828) 758-1332

NPI assigned

Jul 7, 2023

Sex

Male

Sole proprietor

Yes

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

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.

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1851079040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 PINE AVE",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280213624",
            "telephone_number": "704-616-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 TATE BLVD SE STE 202",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024250",
            "telephone_number": "828-758-1320",
            "fax_number": "828-758-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ADAM",
        "middle_name": "WEBSTER",
        "credential": "LCSW-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald David Caldwell Jr., M.D.
• Seth Andrew Call, PA-C
• Taylor Callahan, PA-C
• Dale C. Camp, CRNA
• Gabriella Guiseppina Campana, CF-SLP
• Clay Campbell, CADC
• Donald A Campbell, MD
• Chris Sean Canipe, MSW LCSW
• Michael Cannova II, PHARMD
• Kayte Marie Wiles Cantaral, OTD, OTR/L

• All providers in Hickory, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.