Provider Demographics
NPI:1578238556
Name:CELIA A. KAMPS, LCSW, PLLC
Entity Type:Organization
Organization Name:CELIA A. KAMPS, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMPS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:315-559-9869
Mailing Address - Street 1:221 COOLIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-4211
Mailing Address - Country:US
Mailing Address - Phone:315-559-9869
Mailing Address - Fax:
Practice Address - Street 1:228 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-3011
Practice Address - Country:US
Practice Address - Phone:315-559-9869
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty