| Jenni Marie Campbell, LICSW | |
|
11 N Main St, Po Box G, Randolph, VT 05060-1126 | |
| (802) 728-4466 | |
| Not Available |
| Full Name | Jenni Marie Campbell |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 16 Years |
| Location | 11 N Main St, Randolph, Vermont |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912245143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 089.0084108 (Vermont) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clara Martin Center | 1951395367 | 15 |
| Entity Name | Clara Martin Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386710861 PECOS PAC ID: 1951395367 Enrollment ID: O20060315000608 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenni Marie Campbell, LICSW 11 N Main St, Po Box G, Randolph, VT 05060-1126 Ph: (802) 728-4466 | Jenni Marie Campbell, LICSW 11 N Main St, Po Box G, Randolph, VT 05060-1126 Ph: (802) 728-4466 |
Nancy Copeland, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Shana Kotelchuck, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Claire Bates, LICSW, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 232, Randolph, VT 05060 Phone: 802-565-1833 Fax: 802-990-2739 | |
James Tautfest, RN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44 S Main St, Randolph, VT 05060 Phone: 802-728-7000 Fax: 802-728-2613 | |
Alida Shriber, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Margaret Hammond, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Mrs. Nathalie C Sugarman, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 N Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4926 |