Jessica Campbell

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801097077 Issued in MI

Practice address

5756 Fordham Cir
Please Select
Canton, MI 48187-3344

Phone

(248) 943-8009

NPI assigned

Sep 25, 2014

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

Other names 1

• Jessica Young Former name

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": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1912309634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5756 FORDHAM CIR",
            "address_2": "PLEASE SELECT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873344",
            "telephone_number": "248-943-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5756 FORDHAM CIR",
            "address_2": "PLEASE SELECT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873344",
            "telephone_number": "248-943-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "YOUNG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cambridge Hospice Care LLC
• Breanne Murphy Camilleri, MD
• Camp Zip LLC
• Andrew Campbell, MD
• Caleb Harold Campbell, DDS
• Sophia Campbell, LMSW
• Tara Lor Campbell, LLPC, SCL
• Cancer Genomic Consultants PC
• Kayla Nicole Cane, MS, RDN, LDN
• Canton Ardent

• Clinical Social Worker in Canton, MI
• Providers in Canton, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.