Individual provider Active NPI

Lauren Campen, LISW

  • Clinical Social Worker
  • Worthington, OH
National Provider Identifier
1861656928
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1101014 Issued in OH
Practice address
6649 N High St
Worthington, OH 43085
Phone
(917) 716-6458
Fax
(614) 388-5678
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Social Worker 104100000X 077653-1 NY
Clinical Social Worker 1041C0700X I.1101014 OH Primary

Addresses

Primary practice location

6649 N High St
Worthington, OH 43085

Mailing address

6649 N High St
Worthington, OH 43085-4070
Phone (614) 506-7825

Other practice location 1

6649 N High St
Worthington, OH 43085
Phone (917) 716-6458

Other practice location 2

130 Northwoods Blvd
Columbus, OH 43235-7473
Phone (614) 506-7825

Other identifiers 1

IdentifierTypeStateIssuer
08258MedicaidOH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
077653-1NYMDSocial Worker
I.1101014OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Apexmeds Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1861656928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6649 N HIGH ST",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854070",
            "telephone_number": "614-506-7825",
            "fax_number": "614-388-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6649 N HIGH ST",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "43085",
            "telephone_number": "917-716-6458",
            "fax_number": "614-388-5678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6649 N High St",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "OH",
            "postal_code": "43085",
            "country_code": "US",
            "telephone_number": "917-716-6458",
            "fax_number": "614-388-5678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Northwoods Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432357473",
            "country_code": "US",
            "telephone_number": "614-506-7825",
            "fax_number": "614-388-5678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPEN",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "077653-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1101014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08258",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.