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

Mrs. Shannon Kohlenberg Campbell, LCSW

Individual provider Clinical Social Worker · NPI 1609414200

Mrs. Shannon Kohlenberg Campbell, LCSW is a Clinical Social Worker in Fort Worth, Texas. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2019
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

5562 Mesa Verde Ct
Fort Worth, TX 76137-4438
Phone: (575) 693-3798
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 58967 (TX)

Record details

NPI number1609414200
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 13, 2019
Last updated in NPPESDecember 13, 2019
Certification dateDecember 13, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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