Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marc Anthony Campos-Pantoja, LCSW, PSYD

Individual provider Clinical Social Worker · NPI 1487715785

Dr. Marc Anthony Campos-Pantoja, LCSW, PSYD is a Clinical Social Worker in Elk Grove, California. Qualified in 2002, 24 years ago. Practices as a sole proprietor, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2006
Specialties on file
5
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9412 Big Horn Blvd Ste 6
Elk Grove, CA 95758-1101
Phone: (916) 226-2812
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 64 E Weldon Ave, Fresno, CA 93704-5956 — (559) 276-2331
  • 5271 W Palo Alto Ave, Fresno, CA 93722-3635 — (559) 276-2331

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 94028409 (CA)
Clinical Social Worker Taxonomy 1041C0700X
Clinical Social Worker Taxonomy 1041C0700X · Licence ASW 14648 (CA)
Clinical Social Worker Taxonomy 1041C0700X (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 25797 (CA)

Record details

NPI number1487715785
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , PSYD
Sole proprietorYes
NPI enumeratedDecember 12, 2006
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Elk Grove