IDA GREEN CAMPBELL MA, LMSW
NPI 1285650770
Social Worker - Clinical in Conway, SC

Active since July 15, 2006
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526(843) 347-5060 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ida Green Campbell Ma, Lmsw NPPES

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

IDA GREEN CAMPBELL MA, LMSW (NPI 1285650770) is an individual clinical provider in Conway, South Carolina, licensed in South Carolina (06087) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1285650770
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameIDA GREEN CAMPBELLCredential: MA, LMSW
Location Address164 WACCAMAW MEDICAL PARK DRConway, SC 29526-8903
Mailing AddressPo Box 1342Georgetown, SC 29442-1342 · (843) 546-0501
Sole ProprietorNo
Enumeration DateJuly 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1285650770 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 SC · 06087
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.
164 WACCAMAW MEDICAL PARK DR, Conway, SC 29526

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.

Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Social Worker
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Psychiatry & Neurology (Psychiatry)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Counselor (Mental Health)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Counselor (Professional)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Counselor (Mental Health)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526

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 Ida Campbell's NPI number?

The NPI number for Ida Campbell is 1285650770. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Ida Campbell located?

Ida Campbell practices at 164 Waccamaw Medical Park Dr, Conway, SC 29526. The listed phone number is (843) 347-5060.

What is Ida 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 Ida Campbell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.