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JENNI MARIE CAMPBELL LICSW
NPI 1912245143
Social Worker - Clinical in Randolph, VT

Active since January 23, 2013PECOS Enrolled
11 N MAIN ST, PO BOX G, RANDOLPH, VT 05060(802) 728-4466 Get Directions Write a Review

NPPES record last updated: January 23, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jenni Marie Campbell Licsw NPPES

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

JENNI MARIE CAMPBELL LICSW (NPI 1912245143) is an individual clinical provider in Randolph, Vermont, licensed in Vermont (089.0084108) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912245143
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNI MARIE CAMPBELLCredential: LICSW
Location Address11 N MAIN ST, PO BOX GRandolph, VT 05060-1126
Mailing Address11 N Main St, Po Box GRandolph, VT 05060-1126 · (802) 728-4466
Phone(802) 728-4466
Sole ProprietorYes
Enumeration DateJanuary 23, 2013
✔ NPI 1912245143 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 VT · 089.0084108
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.
11 N MAIN ST, Randolph, VT 05060
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenni Marie Campbell Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jenni Campbell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clara Martin Center
Same address
Community/Behavioral Health
11 S MAIN ST
Randolph, VT 05060
  • Reassigned Medicare billing, Vermont enrollment
  • 29 clinicians in this Medicare group
NPI 1386710861 (802) 728-4466

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $55.80 – $168.48
Typical copayment $0.00 (range $13.95 – $42.12)
Most-billed visit code NA
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

KATELYN BOWEN AA
Community Health Worker
11 N MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-4466
ELEXA PHILLIPS BS
Community Health Worker
11 N MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-4466
GINGER L POTWIN BS,BCC
Case Manager/Care Coordinator
11 N MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-4466
ADAM BINDRUM
Counselor (Mental Health)
11 N MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-4466
EMILY MAE EATON
Community Health Worker
11 N MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-4466
KARA REBECCA TOMS LADC
Counselor (Addiction (Substance Use Disorder))
11 N MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-4466
BADAWNA GALLIPO MA
Counselor
11 N MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-4466
ALEXIS J SARGENT LADC
Social Worker (Clinical)
11 N MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-4466

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 Jenni Campbell's NPI number?

The NPI number for Jenni Campbell is 1912245143. It was assigned to this individual provider in the NPPES registry on January 23, 2013.

Where is Jenni Campbell located?

Jenni Campbell practices at 11 N Main St PO Box G, Randolph, VT 05060. The listed phone number is (802) 728-4466.

What is Jenni Campbell's specialty?

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

Is Jenni Campbell enrolled in Medicare?

Yes. Jenni Campbell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jenni Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenni Campbell reassigns Medicare benefits to Clara Martin Center (Randolph, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenni Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jenni Campbell was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.