Community Connect Care LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

34007156A Issued in IN

Legal business name

COMMUNITY CONNECT CARE LLC

Doing business as

Sherri Campbell

Practice address

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

Phone

(317) 529-9155

NPI assigned

May 24, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Sherri Campbell, 34007156ANPI 1922473891

Title

Clinical Social Worker

Phone

(317) 529-9155

Specialties & licenses 1

Addresses

Other names 1

• Sherri Campbell Doing business as

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.

• Community Connect Care LLC

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1417879693
  NPD tax ID

Locations

Practitioners 1

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

• Sherri Campbell, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1922473891
  NPD Authorized official

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1619325255",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CONNECT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "317-529-9155",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "34007156A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "34007156A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherri Campbell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sherri Campbell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Choice Health Care PC
• Community Clinic, Inc. (Community Clinic)
• Community Connect Care LLC
• Community Dental Center (Glendale Family Dentistry)
• Community Eye Care of Indiana, Inc
• Community Health at Home, LLC
• Community Health Network (UIndy Heatlh and Wellness Center)
• Community Health Network

• Community/Behavioral Health Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.