JEFFREY J CAMPBELL LCSW
NPI 1275565319
Social Worker - Clinical in Waupun, WI

Q: What is Jeffrey Campbell's NPI number?

The NPI number for Jeffrey Campbell is 1275565319. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Jeffrey 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 Jeffrey Campbell was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 07, 2006

620 W BROWN ST, WAUPUN, WI 53963(920) 324-7600 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 22, 2020, Mar 5, 2020 (2 updates tracked since 2020).

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About Jeffrey J Campbell Lcsw NPPES

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

JEFFREY J CAMPBELL LCSW (NPI 1275565319) is an individual clinical provider in Waupun, Wisconsin, licensed in Wisconsin (6642123) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1275565319

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJEFFREY J CAMPBELLCredential: LCSW

Location Address620 W BROWN STWaupun, WI 53963-1702

Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8343 · Fax (920) 926-8370

Phone(920) 324-7600

Sole ProprietorNo

Enumeration DateJuly 7, 2006

Last NPPES UpdateOctober 22, 20202 updates tracked since enumeration

NPPES CertifiedOctober 22, 2020

✔ NPI 1275565319 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 WI · 6642123

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.

620 W BROWN ST, Waupun, WI 53963

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Other Identifiers 1

Medicaid39757500WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.Insurance ›

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.

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