Healthcare Provider Details

I. General information

NPI: 1700512134
Provider Name (Legal Business Name): ALENE CAMPBELL-LANGDELL ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALENE CAMPBELL

II. Dates (important events)

Enumeration Date: 07/27/2022
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3160 TELEGRAPH RD STE 200
VENTURA CA
93003-3250
US

IV. Provider business mailing address

2130 N VENTURA RD
OXNARD CA
93036-2246
US

V. Phone/Fax

Practice location:
  • Phone: 805-642-4611
  • Fax: 805-585-3241
Mailing address:
  • Phone: 510-317-1444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberASW95337
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW95337
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: