Camille Campbell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6511834-3501 Issued in UT

Practice address

5292 Ice House Rd
West Jordan, UT 84081-5103

Phone

(801) 703-5832

NPI assigned

Dec 1, 2009

Last updated

Dec 1, 2009By the provider in NPPES

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)

Enrolled

State licenses

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1477881563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5292 ICE HOUSE RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840815103",
            "telephone_number": "801-703-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5292 ICE HOUSE RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840815103",
            "telephone_number": "801-703-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CAMILLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6511834-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela H. Call, M.P.T.
• Justin A Call, M.D.
• Calm Within Therapy
• Jennifer Cammack, DPT
• Cassidy Joy Campa
• Sol Consuelo Cancel, LMT
• Sofia Marcela Cannon
• Thomas S Cannon, M.D.
• Yeshameen Cano
• Nate Cantor

• Clinical Social Worker in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.