Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jeremy S. Wampler, LCSW, LADC

Individual provider Clinical Social Worker · NPI 1780837989

Mr. Jeremy S. Wampler, LCSW, LADC is a Clinical Social Worker in New Haven, Connecticut. Licensed in Connecticut. Registered with an NPI since 2008.

Licensed in
CT
In the registry since
2008
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

205 Orange St
New Haven, CT 06510-2069
Phone: (203) 776-9900
Fax: (203) 787-5599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 007668 (CT)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 000930 (CT)

Record details

NPI number1780837989
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LADC
Sole proprietorNo
NPI enumeratedOctober 31, 2008
Last updated in NPPESOctober 17, 2012

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