Provider Demographics
NPI:1417744525
Name:BELLCAMP, NYX LEWIS (LICSW)
Entity type:Individual
Prefix:
First Name:NYX
Middle Name:LEWIS
Last Name:BELLCAMP
Suffix:
Gender:
Credentials:LICSW
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:GRACE
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5867 EASTERN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MC CALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35111-3310
Mailing Address - Country:US
Mailing Address - Phone:205-886-2628
Mailing Address - Fax:
Practice Address - Street 1:5867 EASTERN VALLEY RD
Practice Address - Street 2:
Practice Address - City:MC CALLA
Practice Address - State:AL
Practice Address - Zip Code:35111-3310
Practice Address - Country:US
Practice Address - Phone:205-886-2628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6133C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical