Emelda Shurrell Campbell

Primary specialty

Social WorkerTaxonomy code 104100000X

License

011327 Issued in GA

Practice address

11725 Pointe PL
Roswell, GA 30076-4636

Phone

(770) 321-0696

NPI assigned

Oct 18, 2023

Last updated

Oct 18, 2023By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1639951262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 HALLETTS PEAK PL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300440107",
            "telephone_number": "197-970-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 POINTE PL",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764636",
            "telephone_number": "770-321-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "EMELDA",
        "middle_name": "SHURRELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "011327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Louise Camarata, MHA MDT PT
• Camden Counseling
• Campbell Wray Consulting
• Ashlianne Campbell
• Earl Vendryes Campbell III, M.D.
• Tonya Lynn Campbell, CRNA
• Robert Canecchio III, P.T., D.P.T.
• Michael Canfarotta, MD
• Jennifer Lynn Cano, RN, BSN,IBCLC
• Christine Cantilena Barnes, LPC, NCC, MS, CPCS

• Social Worker in Roswell, GA
• Providers in Roswell, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.