Jannett Campos, LCSW
Individual provider Active NPI Clinical Social Worker · Hartford, CT
NPI 1982913695 · NPPES record last updated Mar 28, 2025
Key facts
- NPI
- 1982913695
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 11210 (CT)
- Practice address
- 664 Prospect Ave Side 1
Hartford, CT 06105-4255 - Phone
- (860) 438-9691
- NPI assigned
- Sep 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210802001303 | CT | Practitioner - Clinical Social Worker | 0547664377 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step Up Care PC LLC | Current |
Accepting new patients | |
| Catholic Charities Inc - Archdiocese of Hartford | Current |
Accepting new patients | |
| Catholic Charities, Inc. - Archdiocese of Hartford | Current |
Accepting new patients |
Locations
5 Greenwood St
Hartford, CT 06106
Phone (860) 236-2901
45 Wadsworth St
Hartford, CT 06106
Phone 8605271124283
896 Asylum Ave
Hartford, CT 06105
Phone (860) 522-8241
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/ccaoh/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11210 | CT | Yes |
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
Other providers in Hartford, CT
- Falak Aaliyah Campbell
- Kerry-Ann Campbell
- Nicole Leslie Campbell
- Robyn Noelle Campbell
- Makayla C Campelo
- Matthew C Campos
- Dontiea Mystique Canady
- Solanlly Canas-Muneton
- Sara Candito
- Laura C Caneira
All providers in Hartford, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.