Marketa Campbell
Marketa Campbell is a Clinical Social Worker in Fairfax, Virginia. Qualified in 2023, 3 years ago. Registered with an NPI since 2022.
- Years since qualifying
- 3
- In the registry since
- 2022
Practice location Address checks out
10301 Democracy Ln Ste 201Fairfax, VA 22030-2545
Phone: (703) 547-3509
Fax: (703) 383-3887
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1639897929 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 22, 2022 |
| Last updated in NPPES | June 7, 2023 |
| Certification date | June 7, 2023 |
| Mailing address | 10301 Democracy Ln Ste 201, Fairfax, VA 22030-2545 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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