JESSICA CAMPBELL
NPI 1912309634
Social Worker - Clinical in Canton, MI

Active since September 25, 2014
5756 FORDHAM CIR, PLEASE SELECT, CANTON, MI 48187(248) 943-8009 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 15, 2016, Jun 15, 2016 (2 updates tracked since 2016).

About Jessica Campbell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA CAMPBELL (NPI 1912309634) is an individual clinical provider in Canton, Michigan, licensed in Michigan (6801097077) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1912309634
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA CAMPBELL
Location Address5756 FORDHAM CIR, PLEASE SELECTCanton, MI 48187-3344
Mailing Address5756 Fordham Cir, Please SelectCanton, MI 48187-3344 · (248) 943-8009
Sole ProprietorNo
Enumeration DateSeptember 25, 2014
Last NPPES UpdateJuly 15, 20162 updates tracked since enumeration
NPI 1912309634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801097077
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5756 FORDHAM CIR, Canton, MI 48187

Other Names 1

Former Name (1)Jessica Young

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Campbell's NPI number?

The NPI number for Jessica Campbell is 1912309634. It was assigned to this individual provider in the NPPES registry on September 25, 2014. The provider is also known as Jessica Young.

Where is Jessica Campbell located?

Jessica Campbell practices at 5756 Fordham Cir Please Select, Canton, MI 48187. The listed phone number is (248) 943-8009.

What is Jessica Campbell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jessica Campbell was last updated on July 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.