Individual provider · NPI-1

Nancy P Campo, LMSW

Social Worker · Islandia, NY

NPI number1588949663
StatusActive
Last updated in NPPESOct 20, 2011

Details

NPI
1588949663
Entity type
Individual (NPI-1)
Name
Nancy P Campo
Credential
LMSW
Sex
Female
Sole proprietor
No
Enumeration date
Oct 20, 2011
Last updated
Oct 20, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker045296NYYes

Practice location

1345 Motor Pkwy
Islandia, NY 11749-5208

Phone 631-630-6297

Mailing address

Po Box 1559
Stony Brook, NY 11790-0989

Phone 631-444-0650

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