Thomas George Campbell, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000156 Issued in CT

Practice address

389 Orange St
New Haven, CT 06511-6406

Phone

(203) 562-4235

Fax

(203) 624-6600

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467552372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 ORANGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116406",
            "telephone_number": "203-562-4235",
            "fax_number": "203-624-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 ORANGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116406",
            "telephone_number": "203-562-4235",
            "fax_number": "203-624-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "THOMAS",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "000156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "140000156CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "205747",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Campbell, RN, CPNP
• Melissa Campbell
• Michelle Campbell, LPC
• Raquel Olivia Campbell, APRN, PMHNP-BC
• Sheldon M Campbell, MD PHD
• Danielle Campfield, M.S.
• Hanna Campiglia
• Diana Lynn Campion, APRN
• Susan Colwell Campion, LMFT LADC
• Jane Duquemin Campo, RN BSN

• Clinical Social Worker in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.