Individual provider Active NPI

Campbell Mackie Swift, LCSW

  • Clinical Social Worker
  • Quincy, MA
National Provider Identifier
1891165361
Registry record updated Nov 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
225980 Issued in MA
Practice address
36 Miller Stile Rd
Quincy, MA 02169-5423
Phone
(908) 578-0949
NPI assigned
Sep 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 042160528 MA
Clinical Social Worker 1041C0700X 225980 MA Primary

Addresses

Primary practice location

36 Miller Stile Rd
Quincy, MA 02169-5423

Mailing address

36 Miller Stile Rd
Quincy, MA 02169-5423
Phone (617) 302-3487

Other practice location 1

31 Heath St
Jamaica Plain, MA 02130-1650
Phone (617) 523-6400

Other identifiers 1

IdentifierTypeStateIssuer
1801916176MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230426001868 MA Practitioner - Clinical Social Worker 3678938669 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
225980MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Addictions Treatment Center CurrentSince Nov 27, 2022 Accepting new patients
Thrive Counseling LLC CurrentSince Apr 21, 2023 Accepting new patients
Family Service Association of Greater Boston Past Accepting new patients

Locations

112 Water St
Ste 203
Boston, MA 02109
Phone (617) 882-7447

872 Massachusetts Ave
Ste 2-2
Cambridge, MA 02139
Phone 6173804651 ext. 1992

36 Miller Stile Rd
Quincy, MA 02169
Phone (617) 302-3487

Organizations & group practices 3

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": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669420800000",
    "number": "1891165361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MILLER STILE RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695423",
            "telephone_number": "617-302-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MILLER STILE RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695423",
            "telephone_number": "908-578-0949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Heath St",
            "address_purpose": "LOCATION",
            "city": "Jamaica Plain",
            "state": "MA",
            "postal_code": "021301650",
            "country_code": "US",
            "telephone_number": "617-523-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWIFT",
        "first_name": "CAMPBELL",
        "middle_name": "MACKIE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-28",
        "last_updated": "2022-11-26",
        "certification_date": "2022-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "042160528",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "225980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801916176",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.