Active NPIIndividual provider

Ms. Mary A Campbell, LCSW

Social Worker, Clinical in New London, Connecticut

NPI Number1457453110
Practice location
21 Montauk Ave, New London, CT 06320-4906
Fax
860-271-4797
Last updated
February 24, 2016

Mary Anne Campbell is a Social Worker, Clinical based in New London, CT. Mary Anne Campbell practices in New London, CT and has the professional credentials of LCSW. The NPI Number for Mary Anne Campbell is 1457453110 and holds a License No. 003949 (CT). The current practice location address for Mary Anne Campbell is 21 Montauk Ave, New London, CT 06320-4906 and can be reached out via phone at 860-271-4700 and via fax at 860-271-4797.

Provider Profile Details

NPI Number
1457453110
Provider Name
Mary Anne Campbell
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
21 Montauk Ave, New London, CT 06320-4906
Phone Number
860-271-4700
Fax Number
860-271-4797
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 2, 2006
Last Update Date
February 24, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Montauk Ave
New London, CT 06320-4906
Zip
06320-4906
Phone Number
860-271-4700
Fax Number
860-271-4797
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
21 Montauk Ave
P.o. Box 390
New London, CT 06320-4906
City
New London
State
CT
Zip
06320-4906
Phone Number
860-271-4700
Fax Number
860-271-4797

License Information

License Number
003949
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 Ms. Mary A Campbell, LCSW?

The NPI number of Ms. Mary A Campbell, LCSW is 1457453110. It was assigned on September 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Mary A Campbell, LCSW?

Ms. Mary A Campbell, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 003949.

Where does Ms. Mary A Campbell, LCSW practice?

The practice location is 21 Montauk Ave, New London, CT 06320-4906. The office can be reached at 860-271-4700 (phone) or 860-271-4797 (fax).

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 1457453110 directly on the NPPES registry website.

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