Active NPIOrganization

Jessica Champagne LCSW LLC

Social Worker, Clinical in Oxford, Connecticut

NPI Number1124506266
Practice location
12 Wilson Dr, Oxford, CT 06478-1422
Fax
—
Last updated
February 19, 2021

Jessica Champagne LCSW LLC is a healthcare organization based in Oxford, CT. Jessica Champagne LCSW LLC practices in Oxford, CT. The NPI Number for Jessica Champagne LCSW LLC is 1124506266 and holds a License No. 9924 (CT). The current practice location address for Jessica Champagne LCSW LLC is 12 Wilson Dr, Oxford, CT 06478-1422 and can be reached out via phone at 860-468-9088.

Provider Profile Details

NPI Number
1124506266
Provider Name
Jessica Champagne LCSW LLC
Provider Entity Type
Organization
Address
12 Wilson Dr, Oxford, CT 06478-1422
Phone Number
860-468-9088
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Ms. Jessica Champagne, LCSW · Psychotherapist · 203-543-3307
Provider Enumeration Date
July 31, 2018
Last Update Date
February 19, 2021
Certification Date
February 19, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Wilson Dr
Oxford, CT 06478-1422
City
Oxford
Zip
06478-1422
Phone Number
860-468-9088
Oxford, CT 06478Get directions →

Provider Business Mailing Address Details

Address
12 Wilson Dr
Oxford, CT 06478-1422
City
Oxford
State
CT
Zip
06478-1422
Phone Number
860-468-9088

License Information

License Number
9924
License State
CT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Jessica Champagne LCSW LLC?

The NPI number of Jessica Champagne LCSW LLC is 1124506266. It was assigned on July 31, 2018 and is currently active in the NPPES registry.

What is the specialty of Jessica Champagne LCSW LLC?

Jessica Champagne LCSW LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 9924.

Where does Jessica Champagne LCSW LLC practice?

The practice location is 12 Wilson Dr, Oxford, CT 06478-1422. The office can be reached at 860-468-9088 (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 1124506266 directly on the NPPES registry website.

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