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NPI Code Detail

MEDICARE: MR. SCOTT CAMPBELL LSW

MEDICARE: MR. SCOTT CAMPBELL LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2104100000XSocial WorkerS.1302664OH

General Provider Information

NPI Number : 1053858159
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SCOTT CAMPBELL LSW
Provider Business Mailing Address
First Line : 1219 JEFFERSON AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43604-5836
Country : US
Telephone Number : 567-289-2273
Fax Number :
Provider Business Practice Location Address
First Line : 1219 JEFFERSON AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43604-5836
Country : US
Telephone Number : 567-289-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2017
Last Update Date : 07/07/2021

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Directions to “ MR. SCOTT CAMPBELL LSW” Practice Location

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