Organization Active NPI

Community Connect Care LLC

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1417879693
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COMMUNITY CONNECT CARE LLC
Practice address
6801 Lake Plaza Dr Ste A111
Indianapolis, IN 46220-4069
Phone
(317) 529-9155
Fax
(317) 529-9155
NPI assigned
Jul 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Sherri Elaine Campbell, CLINICAL SOCIAL WORKNPI 1922473891
Title
Owner/Operator
Phone
(317) 529-9155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6801 Lake Plaza Dr Ste A111
Indianapolis, IN 46220-4069

Mailing address

6801 Lake Plaza Dr Ste A111
Indianapolis, IN 46220-4069
Phone (317) 529-9155

National Provider Directory

National Provider Directory
Tax ID family
Community Connect Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1417879693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 LAKE PLAZA DR STE A111",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204069",
            "telephone_number": "317-529-9155",
            "fax_number": "317-529-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 LAKE PLAZA DR STE A111",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204069",
            "telephone_number": "317-529-9155",
            "fax_number": "317-529-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CONNECT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "317-529-9155",
        "authorized_official_credential": "CLINICAL SOCIAL WORK"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.