MRS. JILL LORENE CAMPBELL (LSW) – Clinical Social Worker, NPI 1083003669

MRS. JILL LORENE CAMPBELL (LSW) is a healthcare provider. based in East liverpool, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LSW. They hold a License No. S0030267 (OH). The NPI Number for MRS. JILL LORENE CAMPBELL (LSW) is 1083003669

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JILL LORENE CAMPBELL (LSW)
NPI
1083003669
Phone
(330) 506-8769
Address
16362 PARK WAY
Enumeration Date
20 January 2015
Last Update Date
20 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3304249573
Graduation Year
2016 (10 years ago)
PAC ID
9638400609
Group Practice PAC ID
4385622265
Professional Enrollment ID
I20191007002217
Address ID
OH444328500LI40722154X400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for MRS. JILL LORENE CAMPBELL (LSW)

  • 16362 PARK WAY

    EAST LIVERPOOL, OH 439208959

    Phone: (330) 506-8769

    Mailing address matches the actual address.

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: 2019-10-07

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
I20191007002217IClinical Social WorkerOHTBD

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 43920)

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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: 4385622265View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)OH
Mental Health CounselorOH
Nurse PractitionerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Clinical PsychologistPA
Mental Health CounselorOH

Reviews

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Frequently asked questions

How is MRS. JILL LORENE CAMPBELL (LSW) identified in CMS data?
CMS-hosted NPPES data lists MRS. JILL LORENE CAMPBELL (LSW) with NPI 1083003669.
Does CMS list MRS. JILL LORENE CAMPBELL (LSW) as active?
Yes — MRS. JILL LORENE CAMPBELL (LSW) is active in the NPI listing used on this page.
What is MRS. JILL LORENE CAMPBELL (LSW) best known for clinically?
Directory data describes MRS. JILL LORENE CAMPBELL (LSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. JILL LORENE CAMPBELL (LSW) on a map?
Expect East Liverpool, Ohio as a primary anchor for MRS. JILL LORENE CAMPBELL (LSW) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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