KALLEN CAMPBELL LCSW
NPI 1104389808
Social Worker - Clinical in Alexandria, VA

Q: What is Kallen Campbell's NPI number?

The NPI number for Kallen Campbell is 1104389808. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Q: What is Kallen Campbell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Kallen Campbell was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 09, 2019PECOS EnrolledAccepts Medicare Assignment

2800 EISENHOWER AVE STE 200, ALEXANDRIA, VA 22314(703) 562-9220 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 26, 2026, Mar 10, 2025, Oct 8, 2024 and 2 more (5 updates tracked since 2019).

On this page

About Kallen Campbell Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALLEN CAMPBELL LCSW (NPI 1104389808) is an individual clinical provider in Alexandria, Virginia, licensed in Virginia (0904020446) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104389808

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKALLEN CAMPBELLCredential: LCSW

Location Address2800 EISENHOWER AVE STE 200Alexandria, VA 22314-5210

Mailing Address2800 Eisenhower Ave Ste 200Alexandria, VA 22314-5210 · (703) 562-9220

Phone(703) 562-9220

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 9, 2019

Last NPPES UpdateMay 26, 20265 updates tracked since enumeration

NPPES CertifiedMay 26, 2026

✔ NPI 1104389808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in VA · 0904020446

Definition

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.

2800 EISENHOWER AVE STE 200, Alexandria, VA 22314

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kallen Campbell Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385116862

PECOS Enrollment IDI20260616001648, I20260620000404

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $65.18 – $194.86

Typical copayment $0.00 (range $16.29 – $48.71)

Most-billed visit code NA

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER FERGUSON

Counselor