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NPI Code Detail

MEDICARE: MARISSA CAMPBELL

MEDICARE:   MARISSA  CAMPBELL
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
11041C0700XClinical Social WorkerLICSW1142494MA

General Provider Information

NPI Number : 1427717560
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA CAMPBELL
Provider Business Mailing Address
First Line : 50 NOBBY LN
Second Line :
City : WEST YARMOUTH
State : MA
Zip : 02673-3523
Country : US
Telephone Number : 508-360-8447
Fax Number :
Provider Business Practice Location Address
First Line : 259A NORTH ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-3823
Country : US
Telephone Number : 508-862-0514
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2021
Last Update Date : 02/03/2026

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Directions to “ MARISSA CAMPBELL ” Practice Location

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