Individual provider Active NPI

Sara Campbell, MSW, LMSW

  • Clinical Social Worker
  • Holland, MI
National Provider Identifier
1992314637
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801118946 Issued in MI
Practice address
238 Hoover Blvd Ste 30
Holland, MI 49423-3782
Phone
(616) 312-2989
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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 6851114518 MI
Clinical Social Worker 1041C0700X 6801118946 MI Primary

Addresses

Primary practice location

238 Hoover Blvd Ste 30
Holland, MI 49423-3782

Mailing address

238 Hoover Blvd Ste 30
Holland, MI 49423-3782
Phone (616) 312-2989

Other practice location 1

12265 James St
Holland, MI 49424-8613
Phone (616) 392-1873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250129003053 MI Practitioner - Clinical Social Worker 4284163635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emhpe Michigan PLLCGroup PAC ID 4082088588, 8 clinicians

Practice addresses (Care Compare)

238 Hoover Blvd
Suite 30
Holland, MI 49423-3782
Phone (616) 312-2989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851114518MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emhpe Michigan PLLC Clinical CurrentSince Jan 1, 2025 Accepting new patients

Locations

830 W Lake Lansing Rd
Ste 200
East Lansing, MI 48823
Phone (517) 624-1416

238 Hoover Blvd
Ste 30
Holland, MI 49423
Phone (616) 312-2989

Organizations & group practices 2

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": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1992314637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 HOOVER BLVD STE 30",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233782",
            "telephone_number": "616-312-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 HOOVER BLVD STE 30",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233782",
            "telephone_number": "616-312-2989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12265 James St",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494248613",
            "country_code": "US",
            "telephone_number": "616-392-1873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SARA",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851114518",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801118946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.