Mary A. Camper, DD, PHD, LCSW, CADC
NPI 1417420696ActiveIndividual· Social Worker, Clinical· South Holland, IL
Social Worker, Clinical (DD, PHD, LCSW, CADC) in South Holland, Illinois, licensed in IL, with an NPI issued in January 2019. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1417420696 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DD, PHD, LCSW, CADC |
| Sole proprietor | Yes |
| NPI issued | Jan 9, 2019 |
| Last updated in NPPES | Sep 29, 2026 |
| Certified by provider | May 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 149.026415 | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 32188 | IL |
| Case Manager/Care Coordinator | 171M00000X | — | — |
| Driver | 172A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (IL) |
|---|
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