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MS. JEAN E CAMPBELL MSW
NPI 1811164601
Social Worker - Clinical in Evanston, IL

Active since May 12, 2008PECOS Enrolled
922 DAVIS ST, EVANSTON, IL 60201(847) 905-1314 Get Directions Write a Review

NPPES record last updated: February 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jean E Campbell Msw NPPES

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

MS. JEAN E CAMPBELL MSW (NPI 1811164601) is an individual clinical provider in Evanston, Illinois, licensed in Illinois (149.019846) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hammond, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1811164601
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JEAN E CAMPBELLCredential: MSW
Location Address922 DAVIS STEvanston, IL 60201-3605
Mailing Address922 Davis StEvanston, IL 60201-3605 · (847) 905-1314
Phone(847) 905-1314
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 12, 2008
Last NPPES UpdateFebruary 12, 2018
✔ NPI 1811164601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.019846
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 ListedSocial WorkerTaxonomy 104100000X
922 DAVIS ST, Evanston, IL 60201
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Secondary Practice Location 1

Location 16919 Indianapolis BlvdHammond, IN 46324-2205 · Phone (219) 844-4883 · Fax (219) 844-4885

Other Identifiers 1

Medicaid200085310IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jean E Campbell Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668715723
PECOS Enrollment IDI20190514000887
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 60201 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 6

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

MDR THERAPY, PLLC
Counselor (Professional)
922 DAVIS ST
EVANSTON, IL 60201
Cook County (773) 426-0768
PSYCHEALTH, LTD.
Health Maintenance Organization
922 DAVIS ST
EVANSTON, IL 60201
Cook County (847) 864-4961
ERIN DE GROOT LCSW
Counselor
922 DAVIS ST
EVANSTON, IL 60201
Cook County (847) 999-4757
MADELEINE Y GOMEZ PHD
Psychologist (Clinical)
922 DAVIS ST
EVANSTON, IL 60201
Cook County (847) 864-4961
MERYL MORRIS LCSW
Social Worker (Clinical)
922 DAVIS ST
EVANSTON, IL 60201
Cook County (773) 936-0952
MINDI DEWEY-ROSBURG MA, LCPC
Counselor (Professional)
922 DAVIS ST
EVANSTON, IL 60201
Cook County (773) 426-0768

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 Jean Campbell's NPI number?

The NPI number for Jean Campbell is 1811164601. It was assigned to this individual provider in the NPPES registry on May 12, 2008.

Where is Jean Campbell located?

Jean Campbell practices at 922 Davis St, Evanston, IL 60201. The listed phone number is (847) 905-1314.

What is Jean Campbell's specialty?

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

Is Jean Campbell enrolled in Medicare?

Yes. Jean Campbell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jean Campbell was last updated on February 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.