Mrs Shirley Campuzano, LMSW, RN is a
Social Worker based in Holmdel, New Jersey. Mrs Shirley Campuzano is licensed to practice in New Jersey (license number 44SL05593800) and her current practice location is
6 Brentwood Rd, Holmdel, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(516) 375-4054.
NPI number for Mrs Shirley Campuzano is 1578201158 and her current mailing address is 6 Brentwood Rd, Holmdel, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578201158.
Provider's Profile
| Full Name | Mrs Shirley Campuzano |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 6 Brentwood Rd, Holmdel, New Jersey |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578201158
- Provider Enumeration Date: 05/24/2022
- Last Update Date: 05/24/2022
Medical Identifiers
Medical identifiers for Mrs Shirley Campuzano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578201158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WG0000X | Registered Nurse - General Practice | 26NR18719600 (New Jersey) | Secondary |
| 104100000X | Social Worker | 44SL05593800 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shirley Campuzano is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Shirley Campuzano, LMSW, RN 6 Brentwood Rd, Holmdel, NJ 07733-1413 Ph: (516) 375-4054 | Mrs Shirley Campuzano, LMSW, RN 6 Brentwood Rd, Holmdel, NJ 07733-1413 Ph: (516) 375-4054 |
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