Jessica Champagne, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1836 Issued in CT

Practice address

12 Wilson Dr
Oxford, CT 06478-1422

Phone

(203) 543-3307

NPI assigned

Jul 3, 2014

Last updated

Feb 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jessica Champagne LCSW LLC

  • Clinical Social Worker
  • Oxford, CT
  • NPI 1124506266
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1225444722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WILSON DR",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781422",
            "telephone_number": "860-468-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WILSON DR",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781422",
            "telephone_number": "203-543-3307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "949 Bridgeport Ave",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064603142",
            "country_code": "US",
            "telephone_number": "203-878-6365 x508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMPAGNE",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "092083-1",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "1836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giovanna Cadella
• Paula Calandra, M.A., CCC-SLP
• Kelly E Camp, M.A,, CCC-SLP
• Donald Paul Capozzi, D.D.S.
• Kelsey Chacho
• Monika Chaves, APRN
• Shinymol Chemmarappally, APRN
• Ana Silvia Chinchilla, LMSW
• Michael Clark
• Clinic for Women

• Social Worker in Oxford, CT
• Providers in Oxford, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.