Lauren Marie Campbell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011295 Issued in VA

Practice address

13607 Decidedly CT
Midlothian, VA 23112-6184

Phone

(804) 517-6677

NPI assigned

Oct 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1570320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1992346415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13607 DECIDEDLY CT",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231126184",
            "telephone_number": "804-517-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13607 DECIDEDLY CT",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231126184",
            "telephone_number": "804-517-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-06",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q65721C364",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.goodneighbor.care/contact",
            "affiliation": "N",
            "endpointDescription": "website contact",
            "address_1": "13607 Decidedly Ct",
            "city": "Midlothian",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231126184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Calvert Health Partners, LLC
• Campbell Pedorthics, LLC
• Jack Campbell-Chen
• Elizabeth Owen Campbell
• James A. Campbell Jr., M.D.
• William Wesley Campbell Jr., MD
• Brenda Holt Canada, NP
• Candid Counseling, LLC
• Debra L Cantor, MD
• Capital Orthotics and Prosthetics Technologies, LLC

• Clinical Social Worker in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.

Verify at the official NPI Registry.