BRENDA CAMPBELL (NPI# 1992828107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992828107 |
| Entity Type | Individual |
| Full Name | BRENDA CAMPBELL |
| Credential | LCSW |
| Practice Address |
1400 Emeline Ave Santa Cruz CA 95060 |
| Mailing Address |
1400 Emeline Ave Santa Cruz CA 95060-1976 |
| Practice Telephone | 8314544170 |
| Mailing Telephone | 8314544170 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | ASW68892 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
84769 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SANTA CRUZ COUNTY MEDICARE GRAOUP PTAN# | ZZZ91892Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114048931 | Brenda Ann Campbell | Chiropractor | 219 Wapello St S, Mediapolis, IA 52637-9422 | 2007-04-02 |
| 1891837035 | Brenda Long Campbell | Registered Nurse | 4703 E Indian School Rd, Phoenix, AZ 85018-5417 | 2007-02-13 |
| 1831701192 | Brenda Campbell | Behavior Technician | 2930 Maguire Rd Ste 200, Ocoee, FL 34761-4750 | 2020-08-18 |
| 1376868562 | Brenda Steptoe Campbell | Counselor | 1520 Thomas H Delpit Dr, Baton Rouge, LA 70802-6626 | 2010-03-31 |
| 1962684969 | Brenda Joyce Campbell | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2007-11-30 |
| Street Address |
1400 EMELINE AVE |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925526 | William C Falzett Jr. | Psychologist | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2005-07-09 |
| 1013518125 | Magali Eunice Arriaga Ortiz | Nurse's Aide | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2020-11-04 |
| 1154920098 | Andromeda Marie Scheller | Nurse's Aide | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2020-10-21 |
| 1124665286 | Jeremy Lansing | Social Worker | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2019-12-06 |
| 1013564806 | Amanda Lynett Travers | Counselor | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2019-08-26 |
| 1144887928 | Nathan J Riera | Rehabilitation Counselor | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2019-05-28 |
| 1386201242 | Joseph Harris Price IIi | Counselor | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2019-05-24 |
| 1841759305 | Julie Delophine Keller-olivas | Registered Nurse | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2019-03-14 |
| 1962981282 | Robert Antonio Gomez | Public Health or Welfare | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2018-08-08 |
| 1154808368 | Diana Marcela Eaton | Nurse's Aide | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2018-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023621067 | Adiari Torres | Social Worker | 402 Dakota Ave Apt 8, Santa Cruz, CA 95060-4122 | 2020-08-28 |
| 1487273645 | Victoria Jeanne Dzorka | Social Worker | 125 Water St Ste A2, Santa Cruz, CA 95060-2786 | 2020-04-08 |
| 1245876002 | Steven C Weiss | Social Worker | 1740 17th Ave, Santa Cruz, CA 95062-1804 | 2019-11-26 |
| 1528610581 | Melanie Jayne Stern | Social Worker | 429 Continental St, Santa Cruz, CA 95060-6070 | 2019-07-10 |
| 1902466469 | Neil David Brown | Social Worker | 550 Water St Ste D2, Santa Cruz, CA 95060-4129 | 2019-06-17 |
| 1659851525 | Vincent J Oviedo | Social Worker | 103 Auburn Ave, Santa Cruz, CA 95060-6231 | 2018-08-20 |
| 1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
| 1952788861 | Jodi Mulder | Social Worker | 903 Pacific Ave Ste 200, Santa Cruz, CA 95060-4461 | 2015-04-29 |
| 1073903050 | Christina O'halloran | Social Worker | 143 Stockton Ave, Santa Cruz, CA 95060-6219 | 2015-01-29 |
| 1972900538 | Katrina Tattenham | Social Worker | 1200 Capitola Rd Apt 21, Santa Cruz, CA 95062-2945 | 2014-11-25 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
Please comment or provide details below to improve the information on BRENDA CAMPBELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.