Korin Campbell, LCSW
Social Worker, Clinical in Windsor, CT. Individual provider (NPI-1).
NPI number1649448697
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1649448697
- Entity type
- Individual (NPI-1)
- Name
- Korin Campbell
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 12, 2008
- Certification date
- Jul 8, 2022
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 007655 | CT | Yes |
Other names
- Korin Jack (Former Name)
Practice location
61 Bloomfield AveFl 1
Windsor, CT 06095-2809
Phone 860-386-8024 · Fax 860-909-0032
Mailing address
30 Maple AvenueSuite B-2
Windsor, CT 06095-1722
Phone 860-386-8024
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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