MS. JEAN E CAMPBELL (NPI# 1811164601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811164601 |
| Entity Type | Individual |
| Full Name | MS. JEAN E CAMPBELL |
| Credential | MSW |
| Practice Address |
922 Davis St Evanston IL 60201-3605 |
| Practice Telephone | 8479051314 |
| Mailing Telephone | 8479051314 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2018-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.019846 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200085310 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6919 Indianapolis Blvd, Hammond, IN 463242205 | 2198444883 | 2198444885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346648623 | Jean Campbell | Speech-Language Pathologist | 607 W Park Ave Apt 103, Libertyville, IL 60048-2663 | 2014-12-18 |
| 1598819559 | Jean Christine Campbell | Social Worker | 5028 Wisconsin Ave Nw Ste 400, Washington, DC 20016-4118 | 2007-01-23 |
| 1518023563 | Jean Amos Campbell | Marriage & Family Therapist | 3044 Breckenridge Ln, Suite 204, Louisville, KY 40220-2192 | 2006-12-27 |
| 1992719439 | Jean Eileen Campbell | Dentist | 300 E Yorba Linda Blvd, Ste C, Placentia, CA 92870-2910 | 2006-07-28 |
| 1548250301 | Jean Campbell | Psychologist | 7946 Ivanhoe Ave, La Jolla, CA 92037-4516 | 2005-10-24 |
| 1609290139 | Jean Campbell | Social Worker | 2600 W 9th St, Chester, PA 19013-2040 | 2014-02-04 |
| Street Address |
922 DAVIS ST |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265549901 | Psychealth, Ltd. | Health Maintenance Organization | 922 Davis St, Evanston, IL 60201-3605 | 2006-08-25 |
| 1831632272 | Meryl Morris | Social Worker | 922 Davis St, Evanston, IL 60201-3605 | 2016-12-01 |
| 1760508873 | Madeleine Y Gomez | Psychologist | 922 Davis St, Evanston, IL 60201-3605 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276406 | Meredith S Alger | Social Worker | 1815 Seward St, Evanston, IL 60202-1905 | 2020-08-21 |
| 1568090678 | Ashley Ice | Social Worker | 200 Ridge Ave Apt 1c, Evanston, IL 60202-3855 | 2020-04-01 |
| 1801420971 | Solidarity Therapy Services LLC | Social Worker | 733 Dobson St Apt 2s, Evanston, IL 60202-3977 | 2020-02-27 |
| 1649804188 | Singlepoint Psychotherapy | Social Worker | 1234 Sherman Ave Ste 109, Evanston, IL 60202-1375 | 2020-02-24 |
| 1215571658 | Wendy Kopald | Social Worker | 1740 Ridge Ave Ste 200-c, Evanston, IL 60201-5918 | 2019-10-29 |
| 1477104396 | Eleanor Pierson | Social Worker | 1865 Sherman Ave, Evanston, IL 60201-3714 | 2019-09-23 |
| 1043860125 | Adrienne Groff | Social Worker | 2309 Forestview Rd, Evanston, IL 60201-2011 | 2019-09-19 |
| 1992351712 | Christine Sofia Leone | Social Worker | 235 Custer Ave Apt 2s, Evanston, IL 60202-3597 | 2019-08-16 |
| 1780237669 | Suzanne Nicole Hawley | Social Worker | 1617 South Blvd, Evanston, IL 60202-2745 | 2019-07-19 |
| 1124587449 | Julie Noparstak | Social Worker | 990 Grove St Ste 401, Evanston, IL 60201-4370 | 2019-03-16 |
| Find all providers in EVANSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.