MR. WILLIE JAMES CAMPBELL LCSW
NPI 1417217092
Social Worker - Clinical in Rome, GA

Q: What is Willie Campbell's NPI number?

The NPI number for Willie Campbell is 1417217092. It was assigned to this individual provider in the NPPES registry on May 17, 2012.

Q: What is Willie 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 Willie Campbell was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 May 17, 2012PECOS EnrolledAccepts Medicare Assignment

1345 REDMOND CIR NW, ROME, GA 30165(910) 742-9243(888) 746-1787 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2024, Mar 15, 2023, May 13, 2019 (3 updates tracked since 2019).

On this page

About Mr. Willie James Campbell Lcsw NPPES

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

MR. WILLIE JAMES CAMPBELL LCSW (NPI 1417217092) is an individual clinical provider in Rome, Georgia, licensed in Georgia (CSW004685) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1417217092

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. WILLIE JAMES CAMPBELLCredential: LCSW

Location Address1345 REDMOND CIR NWRome, GA 30165-1307

Mailing AddressPo Box 709Fairburn, GA 30213-0709 · (770) 969-2569

Phone(910) 742-9243

Fax(888) 746-1787

Sole ProprietorYes

Medical School CMSOtherGraduated 1988

Enumeration DateMay 17, 2012

Last NPPES UpdateDecember 23, 20243 updates tracked since enumeration

NPPES CertifiedDecember 23, 2024

✔ NPI 1417217092 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 GA · CSW004685

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.

1345 REDMOND CIR NW, Rome, GA 30165

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Secondary Practice Locations 2

Location 1101 Devant St, Suite 606Fayetteville, GA 30214-2710 · Phone (770) 969-2569

Location 28040 Georgia Ave Ste 170Silver Spring, MD 20910-4959 · Phone (202) 360-4787 · Fax (202) 360-4787

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Blue Cross and Blue Shield of NC, CareSource and more.Insurance ›

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

Mr. Willie James 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 ID1456500545

PECOS Enrollment IDI20241121004177

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

484 services63 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

48 services48 patients

Telehealth originating site facility fee Q3014

The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.

48 services21 patients

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

47 services27 patients

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

44 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30165 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 $53.31 – $164.04

Typical copayment $0.00 (range $13.32 – $41.01)

Most-billed visit code NA

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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 14

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

ALEXIS AVERETT

Social Worker (Clinical)