1. Home
  2. Directory
  3. Illinois
  4. South Holland
  5. Social Worker
  6. NPI Profile

MARY A CAMPER DD, PHD, LCSW, CADC
NPI 1417420696
Social Worker - Clinical in South Holland, IL

Active since January 09, 2019PECOS Enrolled
401 E 162ND ST STE 103, SOUTH HOLLAND, IL 60473(815) 418-6577 Get Directions Write a Review

NPPES record last updated: May 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2024, Nov 14, 2023, Jan 9, 2019 (3 updates tracked since 2019).

About Mary A Camper Dd, Phd, Lcsw, Cadc NPPES

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

MARY A CAMPER DD, PHD, LCSW, CADC (NPI 1417420696) is an individual clinical provider in South Holland, Illinois, licensed in (149.026415) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417420696
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY A CAMPERCredential: DD, PHD, LCSW, CADC
Location Address401 E 162ND ST STE 103South Holland, IL 60473-2237
Mailing Address17577 Kedzie Ave Ste 301Hazel Crest, IL 60429-2051 · (815) 418-6577
Phone(815) 418-6577
Sole ProprietorYes
Enumeration DateJanuary 9, 2019
Last NPPES UpdateMay 18, 20243 updates tracked since enumeration
NPPES CertifiedMay 18, 2024
✔ NPI 1417420696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed · 149.026415
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 32188 (IL)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedDriverTaxonomy 172A00000X
401 E 162ND ST STE 103, South Holland, IL 60473
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary A Camper Dd, Phd, Lcsw, Cadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60473 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 4

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

HEALING EMPOWERING & LEARNING PROFESSIONALS LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
401 E 162ND ST STE 103
SOUTH HOLLAND, IL 60473
Cook County (773) 819-5504
MRS. CRYSTAL HENDERSON
Counselor (Mental Health)
401 E 162ND ST STE 103
SOUTH HOLLAND, IL 60473
Cook County (773) 819-5504
REESTABLISHING HOPE INC
Community/Behavioral Health
401 E 162ND ST STE 103
SOUTH HOLLAND, IL 60473
Cook County (815) 418-6577
DR. ANDREA I WASHINGTON
Social Worker
401 E 162ND ST STE 103
SOUTH HOLLAND, IL 60473
Cook County (773) 819-5504

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 Mary Camper's NPI number?

The NPI number for Mary Camper is 1417420696. It was assigned to this individual provider in the NPPES registry on January 9, 2019.

Where is Mary Camper located?

Mary Camper practices at 401 E 162nd St Ste 103, South Holland, IL 60473. The listed phone number is (815) 418-6577.

What is Mary Camper's specialty?

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

Is Mary Camper enrolled in Medicare?

Yes. Mary Camper is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Camper was last updated on May 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.