Doctor Name: | DAVID MICHAEL CAMPANARO |
NPI Number: | 1033351978 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 080675 |
Business Practice Address: | 141 Broadway Newburgh, NY - 125506204 |
Business Phone Number: | 8455685260 |
Business Fax Number: | |
Mailing Address: | 30 Harriman Dr, GOSHEN |
State: | NY |
Postal Code: | 109242410 |
Phone Number: | 8452912600 |
Fax Number: | 8452914145 |
NPI Enumeration Date: | 03/24/2009 |
NPI Last Update Date: | 03/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 080675 |
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 |