Colleen J. Campbell in Crystal Lake - Clinical
Colleen J. Campbell - NPI 1124034665
Colleen J. Campbell is a Clinical in Crystal Lake, Illinois. Colleen J. Campbell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Colleen J. Campbell is 1124034665. The last update date is 2011-04-12.
Colleen J. Campbell's current location address is 100 N Walkup Ave, Crystal Lake, Illinois. You can contact this provider via phone number 8154552020 and fax number 8154552021. The mailing address for Colleen J. Campbell is 100 N Walkup Ave, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Colleen J. Campbell |
|---|---|
| Address | 100 N Walkup Ave, Crystal Lake, Illinois |
| Phone Number | 8154552020 |
| Fax Number | 8154552021 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1124034665 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2011-04-12 |
Provider Mailing Address Detail
| Address | 100 N Walkup Ave |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 600144383 |
| Phone Number | 8154552020 |
| Fax Number | 8154552021 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149001144 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique identifier code issued to Colleen J. Campbell by the Centers for Medicare & Medicaid Services?
The Colleen J. Campbell has been assigned the NPI (National Provider Identifier) 1124034665. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Colleen J. Campbell's facilities are situated?
The facilities of Colleen J. Campbell are physically located at the following address: 100 N Walkup Ave, Crystal Lake, IL, 600144383.
What is the Colleen J. Campbell's area of specialization and corresponding taxonomy classification?
The Colleen J. Campbell's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did the Colleen J. Campbell receive its 1124034665?
The Colleen J. Campbell was issued its 1124034665 on 2006-08-01, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Colleen J. Campbell most recently updated or revised?
The details related to Colleen J. Campbell, including its address, specialty, and other relevant information, were last updated or revised on 2011-04-12.