Katherine Campbell

Individual provider Active NPI Case Manager/Care Coordinator · Leesburg, VA

NPI 1003306408 · NPPES record last updated May 11, 2018

Key facts

NPI
1003306408
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
102 Heritage Way NE Ste 302
Leesburg, VA 20176-4544
Phone
(571) 577-3402
NPI assigned
May 11, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

102 Heritage Way NE Ste 302
Leesburg, VA 20176-4544

Mailing address

102 Heritage Way NE Ste 302
Leesburg, VA 20176-4544
Phone (571) 577-3402

Other providers in Leesburg, VA

All providers in Leesburg, VA · Case Manager/Care Coordinator in Virginia

Sources for this page

Verify at the official NPI Registry.