Provider Demographics
NPI:1194853317
Name:CAMPBELL, BARBARA S (MSW, ACSW)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:S
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MSW, ACSW
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:S
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, ACSW
Mailing Address - Street 1:2621 SPRING GROVE DR
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114-9448
Mailing Address - Country:US
Mailing Address - Phone:810-229-8522
Mailing Address - Fax:810-229-6903
Practice Address - Street 1:2621 SPRING GROVE DR
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-9448
Practice Address - Country:US
Practice Address - Phone:810-229-8522
Practice Address - Fax:810-229-6903
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010017481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical