Provider Demographics
NPI:1801993431
Name:CAMPO, MARIA LINDA (LCSW, ACSW)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:LINDA
Last Name:CAMPO
Suffix:
Gender:F
Credentials:LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SPRING CITY
Mailing Address - State:PA
Mailing Address - Zip Code:19475-9681
Mailing Address - Country:US
Mailing Address - Phone:610-495-6026
Mailing Address - Fax:610-495-1482
Practice Address - Street 1:528 RIDGE RD
Practice Address - Street 2:
Practice Address - City:SPRING CITY
Practice Address - State:PA
Practice Address - Zip Code:19475-9681
Practice Address - Country:US
Practice Address - Phone:610-495-6026
Practice Address - Fax:610-495-1482
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0129001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA112411OtherVALUE OPTIONS
PA001655873OtherHIGH MARK (FEP)
PA137026000OtherMAGELLAN
PA226530560OtherUNITED BEHAVIORAL HEALTH
PA2318551000OtherBLUE CROSS
PA7303222OtherAETNA
PA2318551000OtherAMERIHEALTH
PA325151OtherMENTAL HEALTH NETWORK
PA001664582OtherPERSONAL CHOICE
PA7303222OtherAETNA