| Jo Campbell, MSW | |
|
29632 E Highway 299, Round Mountain, CA 96084-8000 | |
| (530) 337-6243 | |
| Not Available |
| Full Name | Jo Campbell |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 29632 E Highway 299, Round Mountain, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689336828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 83769 (California) | Primary |
| Entity Name | Hill Country Community Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407914260 PECOS PAC ID: 1052442175 Enrollment ID: O20120425000422 |
| Mailing Address | Practice Location Address |
|---|---|
| Jo Campbell, MSW Po Box 228, Round Mountain, CA 96084-0228 Ph: (530) 337-6243 | Jo Campbell, MSW 29632 E Highway 299, Round Mountain, CA 96084-8000 Ph: (530) 337-6243 |
Tonya Renee Brissey, LCSW, LAADC Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 29632 E Highway 299, Round Mountain, CA 96084 Phone: 530-337-5750 Fax: 530-337-5793 | |
Jaclyn Romo, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 228, Round Mountain, CA 96084 Phone: 530-337-5750 | |
Lisa Rena Williams, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29632 E Highway 299, Round Mountain, CA 96084 Phone: 530-337-6263 |