Provider Demographics
NPI:1316830268
Name:CAMPBELL, LAUREN DEVANNA
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:DEVANNA
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 LYNDE ST APT 35
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-3425
Mailing Address - Country:US
Mailing Address - Phone:480-452-5219
Mailing Address - Fax:480-452-5219
Practice Address - Street 1:15 LYNDE ST APT 35
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-3425
Practice Address - Country:US
Practice Address - Phone:480-452-5219
Practice Address - Fax:480-452-5219
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker