Provider Demographics
NPI:1700394152
Name:CELIA KAMPS, LCSW, PLLC
Entity Type:Organization
Organization Name:CELIA KAMPS, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-559-9869
Mailing Address - Street 1:1950 CORONADA ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-5014
Mailing Address - Country:US
Mailing Address - Phone:315-559-9869
Mailing Address - Fax:
Practice Address - Street 1:1950 CORONADA ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-5014
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:2018-01-19
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY076852-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty