MARY A CAMPER DD, PHD, LCSW, CADC
NPI 1417420696
Social Worker - Clinical in South Holland, IL
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
Specialties & Licenses 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Mary Camper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hazel Crest, IL 60429
- Reassigned Medicare billing, Illinois enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
SOUTH HOLLAND, IL 60473
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.
Which organization bills Medicare for Mary Camper's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Camper reassigns Medicare benefits to Reestablishing Hope Inc (Hazel Crest, IL). 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 Mary Camper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Camper accept?
Health plans from CareSource list Mary Camper as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Camper was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.
# Mary A Camper, DD, PHD, LCSW, CADC · NPI 1417420696
Clinical provider in South Holland, Illinois. Individual provider, active in the CMS NPPES registry since January 9, 2019.
## Identity
- **NPI:** 1417420696 (Entity type: Individual)
- **Enumerated:** January 9, 2019
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 149.026415
- **Sole proprietor:** Yes
## Practice location
- **Address:** 401 E 162ND ST STE 103, South Holland, IL 60473-2237
- **Phone:** (815) 418-6577
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Reestablishing Hope Inc (NPI 1528531639, Hazel Crest, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417420696) · Data from the CMS NPPES public registry.