Provider Demographics
NPI:1740908029
Name:CAMPFIELD, JENNIFER FUNAI (LCSW)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:FUNAI
Last Name:CAMPFIELD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:LEE
Other - Last Name:FUNAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3230 PEOPLES DR
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-7623
Mailing Address - Country:US
Mailing Address - Phone:540-209-9182
Mailing Address - Fax:
Practice Address - Street 1:3230 PEOPLES DR
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-7623
Practice Address - Country:US
Practice Address - Phone:540-209-9182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040032971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical