Wendy Campos, LCSW85662

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW85662 Issued in CA

Practice address

27200 Tourney Rd Ste 410
Santa Clarita, CA 91355

Phone

(661) 705-4670

Fax

(661) 964-3273

NPI assigned

Mar 12, 2012

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

State licenses

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1477828341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27200 TOURNEY RD STE 410",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913554990",
            "telephone_number": "661-705-4670",
            "fax_number": "661-964-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27200 TOURNEY RD STE 410",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "661-705-4670",
            "fax_number": "661-964-3273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 S Olive St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900153023",
            "country_code": "US",
            "telephone_number": "213-747-5542",
            "fax_number": "213-746-9379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "WENDY",
        "credential": "LCSW85662",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-12",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW85662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aja Campbell
• Autumn Rayne Campbell
• Monique Antoinette Campbell, RCP
• Carmel Trinidad Campos
• Elizabeth Campos
• Celso Campoverde, MSW/MPA
• Grayson Coeus Canas
• Canyon Primary Care
• Kathy K Caplan, PT
• Alonso Cardenas, MD

• Clinical Social Worker in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.