Active NPI
Melissa Hooks Campbell, LMSW
- Clinical Social Worker
- Hartsville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1905
- Practice address
- 149 E Carolina Ave
Hartsville, SC 29550-4213 - Phone
- (843) 857-0074
- Fax
- (843) 857-0081
- NPI assigned
- Apr 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1905 | SC | Primary |
Addresses
Primary practice location
149 E Carolina Ave
Hartsville, SC 29550-4213
Mailing address
125 E Cheves St
Florence, SC 29506-2526
Phone (843) 317-4089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376241 | Medicaid | SC |
Other names 1
- Leesa Campbell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
613 Tema Rd
Hartsville, SC 29550-6927
900 S 4TH St
Hartsville, SC 29550-5787
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1905 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Current | Accepting new patients | |
| South Carolina Dept of Mental Health Accounting Office | Current | Accepting new patients |
Locations
125 E Cheves St
Florence, SC 29506
Phone (843) 317-4073
900 S 4th St
Hartsville, SC 29550
Phone (843) 332-4141
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Highway to Hope Tri-County Primary Care
- Primary Care Nurse Practitioner
- Bennettsville, SC
- NPI 1295332690
-
dba Midlands Crisis Stabilization Center
- Community/Behavioral Health Agency
- Columbia, SC
- NPI 1083421994
-
dba Pee Dee Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Florence, SC
- NPI 1205925567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891914677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E CHEVES ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062526",
"telephone_number": "843-317-4089",
"fax_number": "843-317-4096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 E CAROLINA AVE",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295504213",
"telephone_number": "843-857-0074",
"fax_number": "843-857-0081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "MELISSA",
"middle_name": "HOOKS",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "1905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376241",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEESA",
"last_name": "CAMPBELL",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.