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NPI Code Detail

MEDICARE: SARA J CAMPBELL LISW-S

MEDICARE: SARA J CAMPBELL LISW-S
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 WorkerI.1500572-SUPVOH

General Provider Information

NPI Number : 1407258221
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA J CAMPBELL LISW-S
Provider Business Mailing Address
First Line : 4600 MONTGOMERY RD STE 400
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2600
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 201 N YELLOW SPRINGS ST
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45504-2650
Country : US
Telephone Number : 866-934-7450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2014
Last Update Date : 07/25/2025

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Directions to “ SARA J CAMPBELL LISW-S” Practice Location

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