Provider Demographics
NPI:1548379134
Name:CAMPBELL, NANCY P (MSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:P
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 1:7971 TWIN CREEK TRCE
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-2274
Mailing Address - Country:US
Mailing Address - Phone:513-779-2041
Mailing Address - Fax:
Practice Address - Street 1:11500 NORTHLAKE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-1650
Practice Address - Country:US
Practice Address - Phone:513-247-4634
Practice Address - Fax:513-247-4620
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI48241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical