Vickey Campbell, RN

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4704251980 Issued in MI

Practice address

4083 Stonebridge
Holly, MI 48442-9529

Phone

(248) 421-0889

NPI assigned

Oct 25, 2016

Last updated

Oct 25, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1962954016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4083 STONEBRIDGE",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484429529",
            "telephone_number": "248-421-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4083 STONEBRIDGE",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484429529",
            "telephone_number": "248-421-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "VICKEY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "4704251980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4704251980",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Rae Britt, RN, SRNA
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• Laraine Kay Brower, RDH
• Deborah Cain, R.N.
• Carecar, LLC
• Brian Tze-Kit Chiu, PA-C
• Tiffanie Sherea Clark, RMA
• Marcus Andre Collier
• Edward Albert Collins, MA

• Clinical Social Worker in Holly, MI
• Providers in Holly, 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 Oct 25, 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.