Jennifer Campbell | Memphis, TN • PECOS Search

Jennifer Campbell

Social Worker

Behavioral Health & Social Service Providers

832 S Cooper St, Memphis, TN 38104-5409

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer Campbell does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1609594191
Provider Type
Individual
Full Name
Campbell, Jennifer
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/19/2022
Last Updated
8/19/2022

Contact Information

Practice Location

832 S Cooper St, Memphis, TN 38104-5409

Unlisted Fax

Mailing Location

680 S Mansfield St, Memphis, TN 38104-4863

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 8237 Tennessee