Ryan Campbell, LICSW
Social Worker, Clinical in Hanover, MA. Individual provider (NPI-1).
NPI number1164035168
StatusActive
Last updated in NPPESMay 31, 2023
Details
- NPI
- 1164035168
- Entity type
- Individual (NPI-1)
- Name
- Ryan Campbell
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2020
- Certification date
- Apr 6, 2023
- Last updated
- May 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
135 Webster St Ste 1Hanover, MA 02339-1200
Phone 781-449-1143
Mailing address
220 Reservoir St Ste 21Needham Heights, MA 02494-3133
Phone 781-449-1143
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