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KELLY CAMPBELL SW NPI 1710015847


NPI Information

NPI: 1710015847
Provider Name: KELLY CAMPBELL, SW
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
1616 RICHMOND DR NE
MONTEZUMA ES
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 256-0470
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Kelly Campbell, SW is a social worker in Albuquerque, NM. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Kelly Campbell, SW NPI is 1710015847. 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:

1616 RICHMOND DR NE
MONTEZUMA ES
ALBUQUERQUE, NM
ZIP 87106-832
Phone: (505) 256-0470

The enumeration date for this NPI number is 3/1/2007 and was last updated on 7/9/2007.


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 WorkerM 6058NEW MEXICOYes
21041S0200XSocial WorkerSchoolM 06058NEW MEXICOX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
167575757MEDICAIDNEW MEXICO

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

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