MS. MARY ANNE CAMPBELL LCSW
NPI 1457453110
Social Worker - Clinical in New London, CT

Active since September 02, 2006PECOS EnrolledAccepts Medicare Assignment
21 MONTAUK AVE, NEW LONDON, CT 06320(860) 271-4700(860) 271-4797 Get Directions Write a Review

NPPES record last updated: February 24, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ms. Mary Anne Campbell Lcsw NPPES

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

MS. MARY ANNE CAMPBELL LCSW (NPI 1457453110) is an individual clinical provider in New London, Connecticut, licensed in Connecticut (003949) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1457453110
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARY ANNE CAMPBELLCredential: LCSW
Location Address21 MONTAUK AVENew London, CT 06320-4906
Mailing Address21 Montauk Ave, P.o. Box 390New London, CT 06320-4906 · (860) 271-4700 · Fax (860) 271-4797
Fax(860) 271-4797
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 2, 2006
Last NPPES UpdateFebruary 24, 2016
✔ NPI 1457453110 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 CT · 003949
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.
21 MONTAUK AVE, New London, CT 06320

Other Identifiers 4

Other061363844CT · Tax Id
Medicare ID-Type Unspecified800001896CT · Individual Id Number
Other004254976CT · Ctbp
Other140889CT · Value Options

Accepted 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

Ms. Mary Anne 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 ID6800990334
PECOS Enrollment IDI20070322000428
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

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, 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.
395 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 20

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

Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Clinical Nurse Specialist (Psychiatric/Mental Health, Geropsychiatric)
21 MONTAUK AVE
NEW LONDON, CT 06320
Counselor (Professional)
21 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Dentist (General Practice)
21 MONTAUK AVE, SUITE 102
NEW LONDON, CT 06320

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 Campbell's NPI number?

The NPI number for Mary Campbell is 1457453110. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Mary Campbell located?

Mary Campbell practices at 21 Montauk Ave, New London, CT 06320. The listed phone number is (860) 271-4700.

What is Mary Campbell's specialty?

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

Is Mary Campbell enrolled in Medicare?

Yes. Mary 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.

What insurance does Mary Campbell accept?

Health plans from Providence Health Plan list Mary Campbell 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 Campbell was last updated on February 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.