Active NPI
Jamie Campanella, LLC
- Clinical Social Worker
- Winsted, CT
National Provider Identifier
1487477188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JAMIE CAMPANELLA, LLC
- Practice address
- 120 Rockwell St
Winsted, CT 06098-1928 - Phone
- (860) 836-1363
- NPI assigned
- Nov 2, 2024
- Last updated
- Nov 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie Campanella, LCSW
- Title
- Owner
- Phone
- (860) 836-1363
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
120 Rockwell St
Winsted, CT 06098-1928
Mailing address
120 Rockwell St
Winsted, CT 06098-1928
Phone (860) 836-1363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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": []
}
Other providers in Winsted, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.