Campbell, Vivian

Campbell, Vivian is an sole proprietor health care provider with primary practice located at 489 Lisk Ave , Staten Island NY 10303-1779. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Campbell, Vivian can be contacted via phone (718) 370-2002.

Contact Information

Primary practice address
489 Lisk Ave Staten Island NY 10303-1779
Phone: (718) 370-2002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 072917-1 New York

Profile Details

NPI number 1972555639
LBN Legal business name Campbell, Vivian
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Aug 29th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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