Doctor Name: | INGRID SHARON CAMPBELL |
NPI Number: | 1003036658 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L-CSW |
License Number: | RO42678-1 |
Business Practice Address: | 101 Seaview Ter Northport, NY - 117682932 |
Business Phone Number: | 6314232817 |
Business Fax Number: | 6314232817 |
Mailing Address: | 101 Seaview Terrace, NORTHPORT |
State: | NY |
Postal Code: | 117689797 |
Phone Number: | 6314232817 |
Fax Number: | 6314232817 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 02/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | RO42678-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |