Kimberly Renee Campbell

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

5128 Conroy Rd Unit 721
Orlando, FL 32811-3740

Phone

(407) 952-8575

NPI assigned

Oct 24, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1003328568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 CONROY RD UNIT 721",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328113740",
            "telephone_number": "407-952-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5128 CONROY RD UNIT 721",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328113740",
            "telephone_number": "407-952-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kadeem Omar Campbell, M.A.
• Kaitlyn Campbell
• Karen Sue Campbell, ARNP
• Keith Allan Campbell, M.D.
• Kimberly Clinton Campbell, APRN, FNP-C
• Kristen V Campbell
• Libby Theo Campbell, PHD LMHC
• Maryjane Campbell, PHD
• Michael S. Campbell, PHDLCSW
• Qwanda Campbell

• Clinical Social Worker in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.