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MARY A CAMPER LSW CADC NPI 1417420696


NPI Information

NPI: 1417420696
Provider Name: MARY A CAMPER, LSW, CADC
Classification: Clinic/Center - 261QM0850X
Entity Type: Individual

Specialization: Adult Mental Health

PECOS Registration: Yes

Address:
401 E 162ND ST STE 103
SOUTH HOLLAND, IL
ZIP 60473
Phone: (815) 418-6577
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Mary A Camper, LSW, CADC is an adult mental health clinic center in South Holland, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. Mary A Camper, LSW, CADC NPI is 1417420696. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

401 E 162ND ST STE 103
SOUTH HOLLAND, IL
ZIP 60473-237
Phone: (815) 418-6577

The NPI 1417420696 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/9/2019 and was last updated on 11/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial Worker150.103056ILLINOISNo
2101YA0400XCounselorAddiction (Substance Use Disorder)32188ILLINOISNo
31041C0700XSocial WorkerClinical150.103056ILLINOISNo
4171M00000XCase Manager/Care CoordinatorNo
5172A00000XDriverNo
6261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.