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

Mr. Willie James Campbell, LCSW

Individual provider Clinical Social Worker · NPI 1417217092

Mr. Willie James Campbell, LCSW is a Clinical Social Worker in Rome, Georgia. Qualified in 1988, 38 years ago. Practices with Axis Healthcare Group, a 74-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
38
Licensed in
GA
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1345 Redmond Cir NW
Rome, GA 30165-1307
Phone: (910) 742-9243
Fax: (888) 746-1787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 101 Devant St, Fayetteville, GA 30214-2710 — (770) 969-2569
  • 8040 Georgia Ave Ste 170, Silver Spring, MD 20910-4959 — (202) 360-4787

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW004685 (GA)

Record details

NPI number1417217092
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 17, 2012
Last updated in NPPESDecember 23, 2024
Certification dateDecember 23, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Axis Healthcare Group — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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