NPI Code Detail JSON Logo

1033089743 NPI number — ADDISON M BELCAMINO LMSW

NPI Number: 1033089743
Health Care Provider/Practitioner: ADDISON M BELCAMINO LMSW

Information about “1033089743” NPI (ADDISON M BELCAMINO LMSW) exists in 1033089743 in HTML format HTML  |  1033089743 in plain Text format TXT  |  1033089743 in PDF (Portable Document Format) PDF  |  1033089743 in an XML format XML  formats.

NPI Number : 1033089743 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033089743",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BELCAMINO",
    "FirstName": "ADDISON",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "218 WATERHOLE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLCHESTER",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06415-2357",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "860-456-2261",
    "MailingAddressFaxNumber": "860-450-1357",
    "FirstLinePracticeLocationAddress": "140 N FRONTAGE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MANSFIELD CENTER",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06250-1648",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "860-456-2261",
    "PracticeLocationAddressFaxNumber": "860-450-1357",
    "EnumerationDate": "11/07/2025",
    "LastUpdateDate": "11/07/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "11455",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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