REBECCA HERNANDEZ-CAMPOS (LCSW) – Social Worker, NPI 1053785162

REBECCA HERNANDEZ-CAMPOS (LCSW) is a healthcare provider. based in Fort myers, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 001486 (CT). The NPI Number for REBECCA HERNANDEZ-CAMPOS (LCSW) is 1053785162

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA HERNANDEZ-CAMPOS (LCSW)
NPI
1053785162
Phone
(203) 810-9817
Address
4101 WILMONT PL
Enumeration Date
1 December 2015
Last Update Date
10 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
20389917708005
Graduation Year
2005 (21 years ago)
PAC ID
8527580604
Group Practice PAC ID
6305988510
Professional Enrollment ID
I20250318002474
Address ID
CT068541525NO120XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for REBECCA HERNANDEZ-CAMPOS (LCSW)

  • 4101 WILMONT PL

    FORT MYERS, FL 339168006

    Phone: (203) 810-9817

    Type: Mailing

  • 120 CONNECTICUT AVE

    NORWALK, CT 068541525

    Phone: (203) 899-1770

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250318002474IClinical Social WorkerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33916)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305988510View full group profile
NameSpecialtyState
-CT
O B S T E T R I C S/ G Y N E C O L O G YCT
Internal MedicineCT
-CT
Internal MedicineCT
O B S T E T R I C S/ G Y N E C O L O G YMA
Internal MedicineCT
Clinical Social WorkerCT
Mental Health CounselorCT
Internal MedicineNY

Reviews

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Frequently asked questions

Is there an official ID for REBECCA HERNANDEZ-CAMPOS (LCSW) in U.S. healthcare records?
The official identifier for REBECCA HERNANDEZ-CAMPOS (LCSW) is NPI 1053785162.
Would REBECCA HERNANDEZ-CAMPOS (LCSW) appear as active to a payer?
You can treat REBECCA HERNANDEZ-CAMPOS (LCSW) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe REBECCA HERNANDEZ-CAMPOS (LCSW)'s focus?
For REBECCA HERNANDEZ-CAMPOS (LCSW), the primary taxonomy reads as Social Worker. Clinical services aligned with this taxonomy classification.
Where in Florida is REBECCA HERNANDEZ-CAMPOS (LCSW) registered?
Use Fort Myers, Florida as the headline location for REBECCA HERNANDEZ-CAMPOS (LCSW) here.
Can I trust this NPI listing for REBECCA HERNANDEZ-CAMPOS (LCSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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