| Allyson Campbell, Lcsw, Lmhp, Llc | |
|
18025 Oak Street Suite A Omaha NE 68130-1324 | |
| (402) 671-0889 | |
| Not Available |
| Full Name | Allyson Campbell, Lcsw, Lmhp, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 18025 Oak Street Suite A, Omaha, Nebraska |
| Authorized Official Name and Position | Allyson Maree Campbell (PRESIDENT) |
| Authorized Official Contact | 8707069855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allyson Campbell, Lcsw, Lmhp, Llc 1330 S 166th St Omaha NE 68130-1324 Ph: (870) 706-9855 | Allyson Campbell, Lcsw, Lmhp, Llc 18025 Oak Street Suite A Omaha NE 68130-1324 Ph: (402) 671-0889 |
| NPI Number | 1700543097 |
|---|---|
| Provider Enumeration Date | 11/21/2021 |
| Last Update Date | 01/09/2022 |
| Certification Date | 01/09/2022 |
| Medicare PECOS PAC ID | 2163813528 |
|---|---|
| Medicare Enrollment ID | O20211220002170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700543097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Allyson Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801143292 PECOS PAC ID: 7113342353 Enrollment ID: I20211221000449 |
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