JESSICA CHAMPAGNE LCSW LLC
NPI 1124506266
Social Worker - Clinical in Oxford, CT

Active since July 31, 2018
12 WILSON DR, OXFORD, CT 06478(860) 468-9088 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 19, 2021, Jul 31, 2018 (2 updates tracked since 2018).

About Jessica Champagne Lcsw Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA CHAMPAGNE LCSW LLC (NPI 1124506266) is a healthcare organization registered as a clinical in Oxford, Connecticut and active in the NPI registry since July 2018. The organization maintains a secondary practice location in Woodbury and lists Jessica Champagne, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1124506266
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameJESSICA CHAMPAGNE LCSW LLC
Location Address12 WILSON DROxford, CT 06478-1422
Mailing Address12 Wilson DrOxford, CT 06478-1422 · (860) 468-9088
Organization SubpartNo
Authorized OfficialJessica ChampagnePsychotherapist · (203) 543-3307
Enumeration DateJuly 31, 2018
Last NPPES UpdateFebruary 19, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2021
NPI 1124506266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CT · 9924
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
12 WILSON DR, Oxford, CT 06478

Secondary Practice Location 1

Location 143 Sherman Hill Rd Ste 103Woodbury, CT 06798-3651 · Phone (203) 543-3307

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
12 WILSON DR
OXFORD, CT 06478

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Champagne Lcsw LLC's NPI number?

The NPI number for Jessica Champagne Lcsw LLC is 1124506266. It was assigned to this organization in the NPPES registry on July 31, 2018.

Where is Jessica Champagne Lcsw LLC located?

Jessica Champagne Lcsw LLC is located at 12 Wilson Dr, Oxford, CT 06478. The listed phone number is (860) 468-9088.

What is Jessica Champagne Lcsw LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jessica Champagne Lcsw LLC was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.