MEDICARE: NATASHA CAMPBELL LICSW

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
1	1041C0700X	Clinical Social Worker	LC200002375	DC
2	1041C0700X	Clinical Social Worker	11974	CT
3	1041C0700X	Clinical Social Worker	122032	MA
4	1041C0700X	Clinical Social Worker	SW20014	FL
5	1041C0700X	Clinical Social Worker	089.0134516	VT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487041299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASHA CAMPBELL LICSW

Provider Business Mailing Address
First Line	:	PO BOX 174
Second Line	:
City	:	ENFIELD
State	:	CT
Zip	:	06083-0174
Country	:	US
Telephone Number	:	413-341-0085
Fax Number	:	413-895-5532

Provider Business Practice Location Address
First Line	:	150 FEARING ST STE 25
Second Line	:
City	:	AMHERST
State	:	MA
Zip	:	01002-1942
Country	:	US
Telephone Number	:	413-206-6261
Fax Number	:	413-895-5532

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2015
Last Update Date	:	04/03/2026

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Directions to “ NATASHA CAMPBELL LICSW” Practice Location

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