Provider Demographics
NPI:1508391269
Name:CAMPBELL, KATHERINE AM (MSW)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:AM
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UCLA LUSKIN SCHOOL OF PUBLIC AFFAIRS
Mailing Address - Street 2:3250 PUBLIC AFFAIRS BUILDING
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-0001
Mailing Address - Country:US
Mailing Address - Phone:602-370-4327
Mailing Address - Fax:
Practice Address - Street 1:UCLA LUSKIN SCHOOL OF PUBLIC AFFAIRS
Practice Address - Street 2:3250 PUBLIC AFFAIRS BUILDING
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-0001
Practice Address - Country:US
Practice Address - Phone:602-370-4327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-01
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No104100000XBehavioral Health & Social Service ProvidersSocial Worker