MEDICARE: MRS. CATHLEEN E CAMPAIGNE LCSW

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	CSW.00992275	CO

General Provider Information

NPI Number	:	1932383759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CATHLEEN E CAMPAIGNE LCSW

Provider Business Mailing Address
First Line	:	6071 E WOODMEN RD STE 325
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-2612
Country	:	US
Telephone Number	:	970-310-3406
Fax Number	:	866-867-7926

Provider Business Practice Location Address
First Line	:	6071 E WOODMEN RD STE 325
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-2612
Country	:	US
Telephone Number	:	970-310-3406
Fax Number	:	866-867-7926

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

Provider Enumeration Date	:	12/28/2007
Last Update Date	:	05/27/2026

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