Individual ProviderKorin CampbellSocial WorkerBehavioral Health & Social Service ProvidersPractice Address61 Bloomfield Ave, Fl 1, Windsor, CT 06095-2809(860) 386-8024PECOS EnrollmentBased on the most recent information from CMS, provider Korin Campbell is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1649448697Provider TypeIndividualFull NameCampbell, KorinCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date2/12/2008Last Updated7/21/2022Contact InformationPractice LocationPractice Address61 Bloomfield Ave, Fl 1, Windsor, CT 06095-2809Phone(860) 386-8024Fax(860) 909-0032Mailing LocationMailing Address30 Maple Avenue, Suite B-2, Windsor, CT 06095-1722Phone(860) 386-8024FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense007655Connecticut