Organization
AFFILIATES FOR CONSULTATION AND PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS G. CAMPBELL L.C.S.W. (GENERAL PARTNER AND PRACTICE DIRECT)
(203) 562-4235
Entity
Organization
Contact information
Practice address
389 ORANGE ST., NEW HAVEN, CT 06511-6406
(203) 562-4235
(203) 624-6600
Mailing address
389 ORANGE ST., NEW HAVEN, CT 06511-6406
(203) 562-4235
(203) 624-6600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CT
101YM0800X
Mental Health Counselor
—
CT
101YP1600X
Pastoral Counselor
—
CT
101YP2500X
Professional Counselor
—
CT
104100000X
Social Worker
—
CT
1041C0700X
Clinical Social Worker
Primary
—
CT
106H00000X
Marriage & Family Therapist
—
CT
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up