{"npi":"1447066048","type":"NPI-1","status":"active","name":{"display":"Kimberly Campbell","other":[],"first":"KIMBERLY","last":"CAMPBELL","middle":"A"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"CT","license":"11389"}]},"addresses":[{"purpose":"LOCATION","street_1":"693 BLOOMFIELD AVE","city":"BLOOMFIELD","state":"CT","postal_code":"060022489","country_code":"US","phone":"8607315522","fax":"8607315536"},{"purpose":"MAILING","street_1":"2 WATERSIDE XING STE 401","city":"WINDSOR","state":"CT","postal_code":"060951588","country_code":"US","phone":"8606973351","fax":"8607315536"}],"license":{"state":"CT","number":"11389"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250107000613","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"CT","pac_id":"9133657091"}]},"enumeration_date":"2024-12-09","last_updated":"2024-12-09","_meta":{"source":"NPPES","snapshot_date":"2024-12-09","doc_url":"https://findmynpi.com/api"}}