Christine Tamara Campbell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12498 Issued in FL

Practice address

12333 NW 18TH St Ste 5
Pembroke Pines, FL 33026-4386

Phone

(954) 780-6093

Fax

(954) 206-5764

NPI assigned

Oct 14, 2009

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Monterroso Integrative Services, Inc

  • Behavior Analyst
  • Pembroke Pines, FL
  • NPI 1780195990
  NPD

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1730414442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11843 SW 7TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330253476",
            "telephone_number": "727-709-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12333 NW 18TH ST STE 5",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264386",
            "telephone_number": "954-780-6093",
            "fax_number": "954-206-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CHRISTINE",
        "middle_name": "TAMARA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Edward Cambas, DC
• Susan Cameron
• Camila Paiva, M.D., P.L.L.C.
• Jonathan Camino Perez, M.D.
• Campbell Manor
• Indra Campbell
• Jennifer N Campbell, APRN
• Kimberly Campbell
• Nicole Campbell, PMHNP-BC
• Beverly Teresa Campos King, M.D.

• Clinical Social Worker in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 Dec 26, 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.