Shelby Champagne, MSW INTERN
Social Worker, Clinical in Dayville, Connecticut
1114332434- Practice location
- 1007 N Main St, Dayville, CT 06241-2170
- Phone
- 860-774-2020
- Fax
- —
- Last updated
- February 4, 2019
Shelby Champagne is a Social Worker, Clinical based in Dayville, CT. Shelby Champagne practices in Dayville, CT and has the professional credentials of MSW INTERN. The NPI Number for Shelby Champagne is 1114332434 and holds a License No. 9709 (CT). The current practice location address for Shelby Champagne is 1007 N Main St, Dayville, CT 06241-2170 and can be reached out via phone at 860-774-2020.
Provider Profile Details
- NPI Number
- 1114332434
- Provider Name
- Shelby Champagne
- Credential
- MSW INTERN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1007 N Main St, Dayville, CT 06241-2170
- Phone Number
- 860-774-2020
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 25, 2014
- Last Update Date
- February 4, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1007 N Main St
Dayville, CT 06241-2170 - City
- Dayville
- State
- Connecticut
- Zip
- 06241-2170
- Phone Number
- 860-774-2020
Provider Business Mailing Address Details
- Address
- 132 Mansfield Ave
Yas Suite
Willimantic, CT 06226 - City
- Willimantic
- State
- CT
- Zip
- 06226
- Phone Number
- 860-456-2261
License Information
- License Number (1)
- 9709
- License State (1)
- CT
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X · Primary
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shelby Champagne, MSW INTERN?
The NPI number of Shelby Champagne, MSW INTERN is 1114332434. It was assigned on June 25, 2014 and is currently active in the NPPES registry.
What is the specialty of Shelby Champagne, MSW INTERN?
Shelby Champagne, MSW INTERN is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 9709.
Where does Shelby Champagne, MSW INTERN practice?
The practice location is 1007 N Main St, Dayville, CT 06241-2170. The office can be reached at 860-774-2020 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114332434 directly on the NPPES registry website.