National Provider Identifier
Maia Campbell, LCSW
Maia Campbell, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 288-3270.
Profile Overview
- NPI
- 1467229757
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- December 06, 2023
- Last Updated
- December 06, 2023
Practice Location
- 317 E Court St Apt 3
- Ithaca, NY 14850-4245
Phone: (607) 288-3270
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1467229757
- Entity Type
- Individual
- Last Name
- Campbell
- First Name
- Maia
- Credential
- LCSW
- Mailing Street Address
- 317 E Court St Apt 3
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4245
- Mailing Country
- US
- Mailing Phone
- (607) 288-3270
- Practice Street Address
- 317 E Court St Apt 3
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4245
- Practice Country
- US
- Practice Phone
- (607) 288-3270
- Enumeration Date
- December 06, 2023
- Last Updated
- December 06, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 06, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)