KELLY MICHELLE CAMPBELL (NPI# 1669763090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669763090 |
| Entity Type | Individual |
| Full Name | KELLY MICHELLE CAMPBELL |
| Credential | LCSW |
| Practice Address |
204 Toasted Almond Ave North Las Vegas NV 89084-1326 |
| Practice Telephone | 7028589086 |
| Mailing Telephone | 7028589086 |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2015-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6917-C | NV | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538524723 | Kelly Campbell | Emergency Medicine | 6238 Boca Raton Cir, Corpus Christi, TX 78413-2636 | 2015-12-15 |
| 1205240611 | Kelly Anne Campbell | Psychiatry & Neurology | 1345 Philomena St # 305, Austin, TX 78723-3210 | 2014-06-12 |
| 1619214079 | Kelly Nicole Campbell | Physical Therapy Assistant | 26585 Raleigh Rd, Millsboro, DE 19966-7045 | 2013-01-05 |
| 1295010155 | Kelly Jeanne Campbell | Speech-Language Pathologist | 1775 Alysheba Way Ste 10, Lexington, KY 40509-2479 | 2011-10-11 |
| 1740592351 | Kelly Anne Campbell | Physical Therapist | 1100 German School Rd, Richmond, VA 23225-4275 | 2010-07-12 |
| 1487976486 | Kelly Campbell | Licensed Practical Nurse | 461 43rd St, Copiague, NY 11726-1121 | 2010-02-18 |
| 1730363706 | Kelly Anne Campbell | Speech-Language Pathologist | 11047 North 79th Place, Therapy Time Speech Language Therapy, Scottsdale, AZ 85260 | 2007-12-26 |
| 1437291010 | Kelly Roberts Campbell | Social Worker | 713 Scorpion Dr, Wilmington, NC 28411-9436 | 2007-02-12 |
| 1154414043 | Kelly Stott Campbell | Physical Therapist | 4445 Sw Barbur Blvd., Suite 204, Portland, OR 97239 | 2006-10-02 |
| 1780640789 | Kelly Marie Campbell | Physical Therapist | 8955 S Pecos Rd, Suite 1, Henderson, NV 89074-7156 | 2006-04-26 |
| Street Address |
204 TOASTED ALMOND AVE |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89084-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275016677 | Donna Faye Bonner | Technician | 121 Elks Peak Ave., 121 Elks Peak Ave, N. Las Vegas, NV 89084 | 2018-09-11 |
| 1376047662 | Dolly Leticia Diaz | Technician | 7133 Weavers Pl, North Las Vegas, NV 89084 | 2018-03-21 |
| 1649771841 | May Ruth Byrd | Chore Provider | 6638 Cinnabar Coast Lane, Las Vegas, NV 89084 | 2018-02-22 |
| 1841718541 | Tori Tobin | Occupational Therapist | 2550 Nature Park Drive, Ste. 180, North Las Vegas, NV 89084 | 2017-09-01 |
| 1568989986 | Necole Ealy | Day Training/Habilitation Specialist | 6905 Auklet Ln, N Las Vegas, NV 89084 | 2017-08-25 |
| 1871031906 | Mvp Primary Care LLC | Registered Nurse | 6935-104 Aliante Parkway, #509, North Las Vegas, NV 89084 | 2017-02-09 |
| 1679932743 | Melissa Brown | Occupational Therapist | 29 Chastain Park Drive, North Las Vegas, NV 89084 | 2016-02-18 |
| 1598163636 | Taylor Briana Mitchell | Behavioral Analyst | 6929 Puetollano Drive, North Las Vegas, NV 89084 | 2014-12-05 |
| 1801229240 | Faith Thomas | Behavioral Analyst | 634 W Lava Beds Wy, North Las Vegas, NV 89084 | 2013-08-20 |
| 1497028401 | Cornell Williams | Rehabilitation Practitioner | 6616 Lavender Lilly Ln #1, N. Las Vegas, NV 89084 | 2012-02-22 |
| Find all providers in zip 89084 | ||||
| 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 |
|---|---|---|---|---|
| 1093292823 | Tela Marie Wilson | Social Worker | 3050 W Cheyenne Ave Ste 130, North Las Vegas, NV 89032-6025 | 2018-07-24 |
| 1265920763 | Manuela Reid Daniels | Social Worker | 5604 Willowcreek Rd, North Las Vegas, NV 89031-1417 | 2018-04-30 |
| 1043745557 | Victor Shawn Ingram | Social Worker | 4109 California Condor Ave, North Las Vegas, NV 89084-4804 | 2017-04-23 |
| 1295108827 | Temieka Meadows | Social Worker | 6036 Theatrical Rd, North Las Vegas, NV 89031-0619 | 2015-11-04 |
| 1710371513 | Shawn Mango | Social Worker | 730 W Cheyenne Ave, Suite 60, North Las Vegas, NV 89030-7848 | 2015-03-19 |
| 1336531946 | Leslie Glaze | Social Worker | 2220 W San Miguel Ave, North Las Vegas, NV 89032-3062 | 2015-02-19 |
| 1730580168 | Linnetta Ruth Cooley | Social Worker | 4345 Hatch Bend Ave, North Las Vegas, NV 89031-4302 | 2014-09-04 |
| 1174938518 | Carl Crockham | Social Worker | 4325 W Rome Blvd Apt 1184, North Las Vegas, NV 89084-5409 | 2014-06-24 |
| 1255670873 | Trailways Inc | Social Worker | 2832 Tilten Kilt Ave, North Las Vegas, NV 89081-6570 | 2013-02-01 |
| 1114285269 | Trailways Inc. | Social Worker | 3118 Bradford Hill Ave, North Las Vegas, NV 89031-2292 | 2012-04-26 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89084 |
Please comment or provide details below to improve the information on KELLY MICHELLE CAMPBELL.
| 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.