MEDICARE: WILLIE LARRY CAMPBELL LMSW

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	6801035436	MI

General Provider Information

NPI Number	:	1467691907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIE LARRY CAMPBELL LMSW

Provider Business Mailing Address
First Line	:	11266 E INDIAN LAKE DR
Second Line	:
City	:	VICKSBURG
State	:	MI
Zip	:	49097-9560
Country	:	US
Telephone Number	:	248-202-7919
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 LAKELAND LN
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-1327
Country	:	US
Telephone Number	:	248-973-3660
Fax Number	:	248-973-3662

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

Provider Enumeration Date	:	02/06/2009
Last Update Date	:	05/01/2020

Similar Medicare Providers

1487714358 — TAFT PARSONS M.D.
Practice Location Address:

3800 LAKELAND LN
BLOOMFIELD HILLS, MI
48302-1327

Practice Phone: 248-943-7284
Practice Fax:

1275958035 — ORTELE LLC
Practice Location Address:

3800 LAKELAND LN
BLOOMFIELD HILLS, MI
48302-1327

Practice Phone: 248-943-7284
Practice Fax:

1023435856 — PHYSICIAN UNIVERSE, PLLC
Practice Location Address:

3800 LAKELAND LN
BLOOMFIELD HILLS, MI
48302-1327

Practice Phone: 248-943-7284
Practice Fax:

1851707780 — KRISTIN MICHELSON MSW
Practice Location Address:

3800 LAKELAND LN
BLOOMFIELD HILLS, MI
48302-1327

Practice Phone: 248-943-7284
Practice Fax:

1861608697 — MISS SARA E. EVERY L.C.S.W.
Practice Location Address:

969 BLOOMFIELD AVE , APT. C-3
GLEN RIDGE, NJ
07028-1327

Practice Phone: 973-985-0651
Practice Fax:

1205872819 — SAFEWAY INC
Practice Location Address:

4600 COOPER LN
LANDOVER HILLS, MD
20784-1327

Practice Phone: 301-341-2726
Practice Fax: 301-341-9215

Directions to “ WILLIE LARRY CAMPBELL LMSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.