Willie Campbell, LCSW
NPI 1417217092 · Clinical Social Worker · Rome, GA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Willie Campbell, LCSW is a Clinical Social Worker provider in Rome, GA (NPI 1417217092).
Provider details
- NPI number
- 1417217092
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- CSW004685 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
671 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychotherapy, 30 Minutes90832 | 484 | $50 |
| Psychiatric Diagnostic Evaluation90791 | 48 | $109 |
| Telehealth Originating Site Facility FeeQ3014 | 48 | $30 |
| Psychotherapy, 45 Minutes90834 | 47 | $66 |
| Psychotherapy, 1 Hour90837 | 44 | $100 |
Typical Medicare-allowed amounts for these services range $30–$109 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 101 Devant StSuite 606Fayetteville, GA 30214-2710Phone: (770) 969-2569
- 8040 Georgia Ave Ste 170Silver Spring, MD 20910-4959Phone: (202) 360-4787Fax: (202) 360-4787
Registry dates
- Enumerated
- 2012-05-17
- Last updated
- 2024-12-23
- Certified
- 2024-12-23
Frequently asked questions
- What is Willie Campbell's NPI number?
- Willie Campbell's National Provider Identifier (NPI) is 1417217092, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Willie Campbell's specialty?
- Willie Campbell is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Willie Campbell located?
- Willie Campbell's practice location on file with NPPES is 1345 Redmond Cir Nw, Rome, GA 30165-1307.
- What is Willie Campbell's phone number?
- The practice phone number listed in the NPPES registry for Willie Campbell is (910) 742-9243.
- Does Willie Campbell accept Medicare?
- Willie Campbell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Willie Campbell's NPI active?
- Yes — Willie Campbell's NPI (1417217092) is active in the NPPES registry as of the last update on 2024-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.