Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. MARY CAROL CAMPBELL MSW
NPI 1902076920
Social Worker - Clinical in Philadelphia, PA

Active since March 05, 2008PECOS EnrolledAccepts Medicare Assignment
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130(215) 235-9600(215) 684-5360 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Mary Carol Campbell Msw NPPES

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

MS. MARY CAROL CAMPBELL MSW (NPI 1902076920) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (CW014981) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1902076920
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARY CAROL CAMPBELLCredential: MSW
Location Address1412 FAIRMOUNT AVEPhiladelphia, PA 19130-2908
Mailing Address850 N 11th StPhiladelphia, PA 19123-1957 · (215) 769-1110 · Fax (215) 769-1119
Fax(215) 684-5360
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 5, 2008
Last NPPES UpdateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1902076920 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 PA · CW014981
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.
1412 FAIRMOUNT AVE, Philadelphia, PA 19130

Other Identifiers 7

Medicaid1031430190010PA
Medicaid1031430190007PA
Medicaid1031430190008PA
Medicaid1031430190013PA
Medicaid1031430190011PA
Medicaid1031430190012PA
Medicaid1031430190009PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Mary Carol Campbell Msw 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 ID9436102738
PECOS Enrollment IDI20060207000351
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Carol Campbell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
1412-22 FAIRMOUNT AVE
Philadelphia, PA 19130
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 76 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
850 N 11TH ST
Philadelphia, PA 19123
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Resources For Human Development, Inc
  • 121 clinicians in this Medicare group

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 19130 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 $59.88 – $180.99
Typical copayment $0.00 (range $14.97 – $45.24)
Most-billed visit code NA
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Student in an Organized Health Care Education/Training Program
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Family Medicine
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Nurse Practitioner (Primary Care)
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Physician Assistant
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Family Medicine (Adult Medicine)
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Student in an Organized Health Care Education/Training Program
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Social Worker (Clinical)
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Family Medicine
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130

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 Carol Campbell's NPI number?

The NPI number for Mary Carol Campbell is 1902076920. It was assigned to this individual provider in the NPPES registry on March 5, 2008.

Where is Mary Carol Campbell located?

Mary Carol Campbell practices at 1412 Fairmount Ave, Philadelphia, PA 19130. The listed phone number is (215) 235-9600.

What is Mary Carol Campbell's specialty?

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

Is Mary Carol Campbell enrolled in Medicare?

Yes. Mary Carol 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.

Which organizations bill Medicare for Mary Carol Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Carol Campbell reassigns Medicare benefits to 2 organizations: Delaware Valley Community Health, Inc. (Philadelphia, PA) and Family Practice & Counseling Services Network, Inc. (Philadelphia, PA). Each 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 Carol Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Carol Campbell 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 21 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.