Active NPI
Coree N Campbell
- Clinical Social Worker
- Manchester, CT
National Provider Identifier
1336865369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 444 Center St
Manchester, CT 06040-3926 - Phone
- (860) 646-3888
- Fax
- (860) 731-5536
- NPI assigned
- Oct 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Social Worker | 104100000X |
Addresses
Primary practice location
444 Center St
Manchester, CT 06040-3926
Mailing address
2 Waterside Xing Ste 401
Windsor, CT 06095-1588
Phone (860) 697-3351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Connecticut School of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2 Waterside Xing
Suite 401
Windsor, CT 06095-1588
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Windsor, CT
- NPI 1215979810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1336865369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 WATERSIDE XING STE 401",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060951588",
"telephone_number": "860-697-3351",
"fax_number": "860-731-5536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 CENTER ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060403926",
"telephone_number": "860-646-3888",
"fax_number": "860-731-5536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "COREE",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-12",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.