ERIN MARIE CAMPBELL – Clinical Social Worker, NPI 1780991117

ERIN MARIE CAMPBELL is a healthcare provider. based in Brockton, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 11302 (CT). The NPI Number for ERIN MARIE CAMPBELL is 1780991117

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
ERIN MARIE CAMPBELL
NPI
1780991117
Phone
Not provided
Address
12 CHATHAM WEST DR
Enumeration Date
7 September 2010
Last Update Date
16 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8606340967
Graduation Year
2011 (15 years ago)
PAC ID
2466876636
Group Practice PAC ID
6507208758
Professional Enrollment ID
I20211222002162
Address ID
CT063512226JE70XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for ERIN MARIE CAMPBELL

  • 12 CHATHAM WEST DR

    BROCKTON, MA 023011309

    Phone:

    Type: Mailing

  • 18 NEWTON ST

    BROCKTON, MA 023015115

    Phone: (508) 583-6498

    Type: Location

  • 1353 GOLD STAR HWY

    GROTON, CT 063402739

    Phone: (860) 629-2527

    Type: Location

  • 19 FIELDSIDE DR APT B

    GROTON, CT 063403546

    Phone:

    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: 2021-12-22

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
I20211222002162IClinical 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 02301)

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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: 6507208758View full group profile
NameSpecialtyState
Mental Health CounselorCT
Mental Health CounselorCT
Mental Health CounselorCT
Mental Health CounselorCT

Reviews

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Frequently asked questions

Can I cross-check ERIN MARIE CAMPBELL using NPI 1780991117?
NPI 1780991117 belongs to ERIN MARIE CAMPBELL; compare other details if you need extra assurance.
Is ERIN MARIE CAMPBELL shown as active in public data?
Registry records indicate ERIN MARIE CAMPBELL maintains an active NPI.
What kind of doctor is ERIN MARIE CAMPBELL?
ERIN MARIE CAMPBELL is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for ERIN MARIE CAMPBELL?
Travel planning: use Brockton, Massachusetts as the reference point for ERIN MARIE CAMPBELL, then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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