Jamie Campanella, LLC

Key facts

NPI

1487477188

Entity type

Organization (NPI type 2)

Primary specialty

Clinical Social Worker 1041C0700X

Legal business name

JAMIE CAMPANELLA, LLC

Practice address

120 Rockwell St
Winsted, CT 06098-1928

Phone

(860) 836-1363

NPI assigned

Nov 2, 2024

Organization subpart

No

Authorized official

Name

Jamie Campanella, LCSW NPI 1235596040

Title

Owner

Phone

(860) 836-1363

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

Practitioners 1

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

• Jamie Campanella, LMSW Social Worker · New York, NY · NPI 1235596040
  Medicare reassignment NPD Authorized official CT

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CT

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 2, 2024.

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730505600000",
    "number": "1487477188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ROCKWELL ST",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "060981928",
            "telephone_number": "860-836-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ROCKWELL ST",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "060981928",
            "telephone_number": "860-836-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE CAMPANELLA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-02",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "CAMPANELLA",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-836-1363",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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