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Contact Information

GENESIS CAMPOS, LCSW
71 RAYMOND RD
WEST HARTFORD, CT06107-2211
 Phone: 860-335-8765
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for GENESIS CAMPOS · (Female)

NPI Number 1417557026
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 11/01/2020
Last updated 07/14/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 011494
  • CT License # 5000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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