Individual provider Active NPI

Jannett Campos, LCSW

  • Clinical Social Worker
  • Hartford, CT
National Provider Identifier
1982913695
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11210 Issued in CT
Practice address
664 Prospect Ave Side 1
Hartford, CT 06105-4255
Phone
(860) 438-9691
NPI assigned
Sep 29, 2010
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11210 CT Primary

Addresses

Primary practice location

664 Prospect Ave Side 1
Hartford, CT 06105-4255

Mailing address

239 Glen St Unit 4E
New Britain, CT 06051-3067
Phone (860) 438-9691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210802001303 CT Practitioner - Clinical Social Worker 0547664377 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11210CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities, Inc. - Archdiocese of Hartford CurrentSince Jul 18, 2022 Accepting new patients
Step Up Care PC LLC Clinical CurrentSince Jun 23, 2021 Accepting new patients
Catholic Charities Inc - Archdiocese of Hartford CurrentSince Jul 18, 2022 Accepting new patients

Locations

45 Wadsworth St
Hartford, CT 06106
Phone 8605271124283

5 Greenwood St
Hartford, CT 06106
Phone (860) 236-2901

896 Asylum Ave
Hartford, CT 06105
Phone (860) 522-8241

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/ccaoh/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1982913695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 GLEN ST UNIT 4E",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060513067",
            "telephone_number": "860-438-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 PROSPECT AVE SIDE 1",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054255",
            "telephone_number": "860-438-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "JANNETT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.