Active NPIIndividual providerSole proprietor

Jenni M Campbell, LICSW

Social Worker, Clinical in Randolph, Vermont

NPI Number1912245143
Practice location
11 N Main St, Po Box G, Randolph, VT 05060-1126
Fax
—
Last updated
January 23, 2013

Jenni Marie Campbell is a Social Worker, Clinical based in Randolph, VT. Jenni Marie Campbell practices in Randolph, VT and has the professional credentials of LICSW. The NPI Number for Jenni Marie Campbell is 1912245143 and holds a License No. 089.0084108 (VT). The current practice location address for Jenni Marie Campbell is 11 N Main St, Po Box G, Randolph, VT 05060-1126 and can be reached out via phone at 802-728-4466.

Provider Profile Details

NPI Number
1912245143
Provider Name
Jenni Marie Campbell
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
11 N Main St, Po Box G, Randolph, VT 05060-1126
Phone Number
802-728-4466
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 23, 2013
Last Update Date
January 23, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 N Main St
Po Box G
Randolph, VT 05060-1126
State
Vermont
Zip
05060-1126
Phone Number
802-728-4466
Randolph, VT 05060Get directions →

Provider Business Mailing Address Details

Address
11 N Main St
Po Box G
Randolph, VT 05060-1126
City
Randolph
State
VT
Zip
05060-1126
Phone Number
802-728-4466

License Information

License Number
089.0084108
License State
VT
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 Jenni M Campbell, LICSW?

The NPI number of Jenni M Campbell, LICSW is 1912245143. It was assigned on January 23, 2013 and is currently active in the NPPES registry.

What is the specialty of Jenni M Campbell, LICSW?

Jenni M Campbell, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089.0084108.

Where does Jenni M Campbell, LICSW practice?

The practice location is 11 N Main St, Po Box G, Randolph, VT 05060-1126. The office can be reached at 802-728-4466 (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 1912245143 directly on the NPPES registry website.

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