Provider Demographics
NPI:1760786636
Name:CAMPAGNA REES, CHRISTINA (MSW)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:CAMPAGNA REES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:CAMPAGNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 WASHINGTON ST STE A
Mailing Address - Street 2:
Mailing Address - City:FORT EDWARD
Mailing Address - State:NY
Mailing Address - Zip Code:12828-1734
Mailing Address - Country:US
Mailing Address - Phone:518-746-3885
Mailing Address - Fax:
Practice Address - Street 1:12 WASHINGTON ST STE A
Practice Address - Street 2:
Practice Address - City:FORT EDWARD
Practice Address - State:NY
Practice Address - Zip Code:12828-1734
Practice Address - Country:US
Practice Address - Phone:518-746-3885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-06
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
NY0922691041S0200X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool