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ANDREA SUE CAMPBELL LCSW
NPI 1104912963
Social Worker - Clinical in Indianapolis, IN

Active since October 05, 2006
429 N PENNSYLVANIA ST STE 111, INDIANAPOLIS, IN 46204(855) 284-7483 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2023, May 15, 2023, May 11, 2023 and 2 more (5 updates tracked since 2022).

About Andrea Sue Campbell Lcsw NPPES

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

ANDREA SUE CAMPBELL LCSW (NPI 1104912963) is an individual clinical provider in Indianapolis, Indiana, licensed in Indiana (34004864A) and active in the NPI registry since October 2006. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104912963
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANDREA SUE CAMPBELLCredential: LCSW
Location Address429 N PENNSYLVANIA ST STE 111Indianapolis, IN 46204-1873
Mailing AddressPo Box 748465Atlanta, GA 30374-8465 · (855) 284-7483
Phone(855) 284-7483
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateMay 22, 20235 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
✔ NPI 1104912963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in IN · 34004864A✔ Licensed in LA · 16894✔ Licensed in CA · 105921✔ Licensed in MA · 124132✔ Licensed in FL · SW18247✔ Licensed in OH · I.2103027
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.
429 N PENNSYLVANIA ST STE 111, Indianapolis, IN 46204
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Secondary Practice Locations 2

Location 12960 Camino Diablo Ste 105Walnut Creek, CA 94597-3945 · Phone (800) 892-2695
Location 21000 Jefferson St Ste 2CLynchburg, VA 24504-1724 · Phone (855) 284-7483

Other Identifiers 1

Medicaid100270530IN

Other Providers at the Same Location NPPES 4

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

COURTNEY ENGLISH
Health Educator
429 N PENNSYLVANIA ST STE 111
INDIANAPOLIS, IN 46204
Marion County (317) 522-2392
JACOB WILLIAMS
Social Worker (Clinical)
429 N PENNSYLVANIA ST STE 111
INDIANAPOLIS, IN 46204
Marion County (855) 284-7483
THRIVEWORKS TELEPSYCHIATRY - INDIANA PC
Counselor (Mental Health)
429 N PENNSYLVANIA ST STE 111
INDIANAPOLIS, IN 46204
Marion County (855) 284-7483
NICOLE HARKER-LANE
Social Worker (Clinical)
429 N PENNSYLVANIA ST STE 111
INDIANAPOLIS, IN 46204
Marion County (605) 204-2767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Campbell's NPI number?

The NPI number for Andrea Campbell is 1104912963. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Andrea Campbell located?

Andrea Campbell practices at 429 N Pennsylvania St Ste 111, Indianapolis, IN 46204. The listed phone number is (855) 284-7483.

What is Andrea Campbell's specialty?

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

When was this NPI record last updated?

The NPPES record for Andrea Campbell was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.