STEPHANIE CAMPBELL LCSW
NPI 1689398893
Social Worker in West Hartford, CT

Q: What is Stephanie Campbell's NPI number?

The NPI number for Stephanie Campbell is 1689398893. It was assigned to this individual provider in the NPPES registry on September 30, 2022.

Q: What is Stephanie Campbell's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since September 30, 2022PECOS Enrolled

430 NEW PARK AVE STE 102, WEST HARTFORD, CT 06110(774) 454-9076 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 19, 2025, Mar 4, 2025, Sep 30, 2022 (3 updates tracked since 2022).

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About Stephanie Campbell Lcsw NPPES

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

STEPHANIE CAMPBELL LCSW (NPI 1689398893) is an individual social worker in West Hartford, Connecticut, licensed in Connecticut (14930) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1689398893

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSTEPHANIE CAMPBELLCredential: LCSW

Location Address430 NEW PARK AVE STE 102West Hartford, CT 06110-1142

Mailing Address430 New Park Ave Ste 102West Hartford, CT 06110-1142 · (774) 454-9076

Phone(774) 454-9076

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 30, 2022

Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration

NPPES CertifiedMarch 19, 2025

✔ NPI 1689398893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Licenses✔ Licensed in CT · 14930✔ Licensed in TX · 61696✔ Licensed in VA · 0903002519

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

430 NEW PARK AVE STE 102, West Hartford, CT 06110

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Campbell Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648768788

PECOS Enrollment IDI20251024000336

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Campbell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA

1,181 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Connecticut and District of Columbia enrollments
613 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

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

DARBY COTTER

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