Individual provider · Type 1 NPI

Marisa Danette Campbell, MSW

Student in an Organized Health Care Education/Training Program · Buffalo, NY

NPI number 1790601797 Active

Practice location

152 Davidson Ave
Buffalo, NY 14215-2308

Other practice locations

  • 100 Leroy Ave, Buffalo, NY 14214-2404 · (716) 415-4338

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790601797

Marisa Danette Campbell, MSW's National Provider Identifier is 1790601797, issued on Jun 25, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Buffalo, NY. The record was last updated on Jun 25, 2026.