1. Home
  2. Directory
  3. New York
  4. Ridgewood
  5. Social Worker
  6. NPI Profile

JENNIFER WILEY CAMPBELL LMSW
NPI 1366192098
Social Worker in Ridgewood, NY

Active since March 25, 2022PECOS EnrolledAccepts Medicare Assignment
6801 FRESH POND RD APT 5, RIDGEWOOD, NY 11385(713) 248-0753 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer Wiley Campbell Lmsw NPPES

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

JENNIFER WILEY CAMPBELL LMSW (NPI 1366192098) is an individual social worker in Ridgewood, New York, licensed in New York (111415) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1366192098
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJENNIFER WILEY CAMPBELLCredential: LMSW
Location Address6801 FRESH POND RD APT 5Ridgewood, NY 11385-5233
Mailing Address6801 Fresh Pond Rd Apt 5Ridgewood, NY 11385-5233 · (713) 248-0753
Phone(713) 248-0753
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 25, 2022
NPPES CertifiedMarch 20, 2022
✔ NPI 1366192098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 111415
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
6801 FRESH POND RD APT 5, Ridgewood, NY 11385
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Wiley Campbell Lmsw 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 ID9234611351
PECOS Enrollment IDI20260306001108
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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Campbell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Service Program For Older People, Inc
7.3 mi
Geriatric Psychiatry
302 W 91ST ST
New York, NY 10024
  • Reassigned Medicare billing, New York enrollment
  • 26 clinicians in this Medicare group
NPI 1740211143 (212) 787-7120

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jennifer Campbell's NPI number?

The NPI number for Jennifer Campbell is 1366192098. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Jennifer Campbell located?

Jennifer Campbell practices at 6801 Fresh Pond Rd Apt 5, Ridgewood, NY 11385. The listed phone number is (713) 248-0753.

What is Jennifer Campbell's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jennifer Campbell enrolled in Medicare?

Yes. Jennifer Campbell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jennifer Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Campbell reassigns Medicare benefits to Service Program For Older People, Inc (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Campbell was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.