Active NPI
Christina Campbell
- Clinical Social Worker
- Brockton, MA
National Provider Identifier
1972163145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 157 Main St
Brockton, MA 02301-4012 - Phone
- (781) 344-0102
- NPI assigned
- Jun 19, 2019
- 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 | Primary |
Addresses
Primary practice location
157 Main St
Brockton, MA 02301-4012
Mailing address
157 Main St
Brockton, MA 02301-4012
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ccampbell@luminosityma.org | Direct | Luminosity Behavioral Health Services Inc |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1972163145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 MAIN ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 MAIN ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014012",
"telephone_number": "781-344-0102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "CHRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-19",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ccampbell@luminosityma.org",
"affiliation": "Y",
"endpointDescription": "Confidential Work Email",
"affiliationName": "Luminosity Behavioral Health Services Inc",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "157 Main St",
"city": "Brockton",
"state": "MA",
"country_code": "US",
"postal_code": "023014012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.