ELIZABETH CAMPBELL (NPI# 1215283536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215283536 |
| Entity Type | Individual |
| Full Name | ELIZABETH CAMPBELL |
| Practice Address |
10503 San Jose Blvd Jacksonville FL 32257 |
| Mailing Address |
4205 Belfort Rd Ste 4015 Jacksonville FL 32216-3623 |
| Practice Telephone | 9044506700 |
| Practice Fax Number | 9044506691 |
| Mailing Telephone | 9042965691 |
| Mailing Fax Number | 9044506401 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2018-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW10835 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285138115 | Elizabeth Joyce Campbell | Speech-Language Pathologist | 41535 Sacred Mountain St, Aldie, VA 20105-5533 | 2018-03-23 |
| 1427576271 | Elizabeth Campbell | Technician, Other | 6933 Nw 8th St, Margate, FL 33063-4307 | 2017-08-31 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1316353956 | Elizabeth Campbell | Dentist | 150 Providence Rd Ste 200, Chapel Hill, NC 27514-2208 | 2014-07-03 |
| 1932525508 | Elizabeth Meghann Campbell | Occupational Therapist | 200 Keller Smithfield Rd S, Keller, TX 76248-2188 | 2014-03-06 |
| 1063848729 | Elizabeth Kristen Campbell | Speech-Language Pathologist | 9040 Executive Park Drive, Suite 105, Knoxville, TN 37923-4690 | 2013-09-25 |
| 1033551494 | Elizabeth Ann Campbell | Behavioral Analyst | 2225 Sycamore Street, Suite 120, Harrisburg, PA 17111 | 2013-07-25 |
| 1619225240 | Elizabeth Anne Campbell | Internal Medicine | 120 Braelands Drive, Cary, NC 27518-8972 | 2012-08-29 |
| 1033485909 | Elizabeth Campbell | Counselor | 302 South Bethlehem Pike, Building B, Ambler, PA 19002 | 2012-03-26 |
| 1598044695 | Elizabeth Kemeny Campbell | Physical Therapist | 208 N Benjamin Dr, West Chester, PA 19382 | 2011-08-08 |
| Street Address |
10503 SAN JOSE BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235187857 | Michael Cordova | Family Medicine | 10503 San Jose Blvd, Jacksonville, FL 32257-6295 | 2006-05-05 |
| 1053769463 | Heather Tramel Sharp | Family Medicine | 10503 San Jose Blvd, Jacksonville, FL 32257-6295 | 2016-05-25 |
| 1982017471 | Affordable Dentures-jacksonville, P.a. | Dentist | 10503 San Jose Blvd, Suite 10, Jacksonville, FL 32257-6295 | 2014-06-03 |
| 1851739825 | Allen Robertson Todd | Family Medicine | 10503 San Jose Blvd, Jacksonville, FL 32257-6295 | 2013-06-11 |
| 1881975365 | Satanjeeb Shah | Pharmacist | 10503 San Jose Blvd, Jacksonville, FL 32257-6295 | 2011-08-29 |
| 1750672051 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 10503 San Jose Blvd, Jacksonville, FL 32257 | 2011-04-21 |
| 1467693358 | William Gonzalez | Nurse Practitioner | 10503 San Jose Blvd, Jacksonville, FL 32257 | 2009-03-23 |
| 1508995036 | Affordable Dentures -jacksonville, P.C. | Dentist | 10503 San Jose Blvd, Suite 10, Jacksonville, FL 32257-6295 | 2007-03-02 |
| 1720024425 | Dale Tucker | Emergency Medicine | 10503 San Jose Blvd, Jacksonville, FL 32257-6295 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748193 | Sophia Venditti | Social Worker | 2598 Post St # 1, Jacksonville, FL 32204-4256 | 2020-10-22 |
| 1629676093 | My Journey, LLC | Social Worker | 13453 N Main St Ste 204, Jacksonville, FL 32218-2773 | 2020-10-16 |
| 1104423524 | Sonya Young | Social Worker | 920 Bridier St, Jacksonville, FL 32206-5904 | 2020-10-08 |
| 1043823115 | Sierra Lashonda Murray | Social Worker | 9246 Thunderbolt Dr, Jacksonville, FL 32221-8052 | 2020-08-28 |
| 1235741901 | Deidra Lewis | Social Worker | 4480 Deerwood Lake Pkwy Unit 134, Jacksonville, FL 32216-2255 | 2020-08-23 |
| 1497365456 | Darlene Denise Rolle- Cargill | Social Worker | 14050 Integra Dr Apt 420, Jacksonville, FL 32218-2592 | 2020-08-05 |
| 1689282626 | Andrea Kristin Perkinson | Social Worker | 128 Plow Point Ln, Jacksonville, NC 28546-9591 | 2020-07-15 |
| 1255956371 | Noel Roman | Social Worker | 11775 Carson Lake Dr W, Jacksonville, FL 32221-3812 | 2020-06-15 |
| 1285257535 | Phaith Coaching & Counseling, LLC | Social Worker | 4940 Emerson St, Jacksonville, FL 32207-4963 | 2020-05-21 |
| 1407478613 | Mara's Lighthouse Counseling Center, LLC | Social Worker | 6015 Morrow St E Ste 114, Jacksonville, FL 32217-2125 | 2020-05-11 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.