MR. WILLIE JAMES CAMPBELL (LCSW) – Clinical Social Worker, NPI 1417217092
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,046 CLINICAL SOCIAL WORKER in GA
Provider Addresses for MR. WILLIE JAMES CAMPBELL (LCSW)
101 Devant St
Suite 606
Fayetteville, GA 302142710
Phone: (770) 969-2569
Type: Location
101 DEVANT ST
SUITE 606
FAYETTEVILLE, GA 302142710
Phone: (770) 969-2569
Type: Location
PO BOX 709
FAIRBURN, GA 302130709
Phone: (770) 969-2569
Type: Mailing
8040 Georgia Ave Ste 170
Silver Spring, MD 209104959
Phone: (202) 360-4787
Fax: (202) 360-4787
Type: Location
1345 REDMOND CIR NW
ROME, GA 301651307
Phone: (910) 742-9243
Fax: (888) 746-1787
Type: Location
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: 2025-12-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121004000749 | I | Clinical Social Worker | GA | TBD |
| I20190626003879 | I | Clinical Social Worker | KY | TBD |
| I20200414000690 | I | Clinical Social Worker | FL | TBD |
| I20200622000340 | I | Clinical Social Worker | NC | TBD |
| I20241121004177 | I | Clinical Social Worker | DC | TBD |
| I20241121004413 | I | Clinical Social Worker | MD | TBD |
| I20251212000999 | I | Clinical Social Worker | VA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 362 | 49 | $0 |
| Q3014 | Telehealth originating site facility fee | 231 | 28 | $0 |
| 90834 | Psychotherapy, 45 minutes | 130 | 39 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 83 | 83 | $0 |
| 90837 | Psychotherapy, 1 hour | 52 | 17 | $0 |
Insurance plans in this area (ZIP 30214)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MD | |
| P S Y C H I A T R Y | WV | |
| Psychiatry, Hospitalist, Psychiatry, Internal Medicine | MD | |
| P S Y C H I A T R Y | NY | |
| Nurse Practitioner | MO | |
| P S Y C H I A T R Y | MD | |
| - | MD | |
| - | MD | |
| - | MD | |
| Clinical Social Worker | MD |
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