Jennifer Camacho, LCSW
Social Worker, Clinical in Springfield, MO. Individual provider (NPI-1).
NPI number1457541567
StatusActive
Last updated in NPPESJul 26, 2007
Details
- NPI
- 1457541567
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Camacho
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2007
- Last updated
- Jul 26, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 2002031363 | MO | Yes |
Practice location
1300 E Bradford PkwySpringfield, MO 65804-4264
Phone 417-269-5400 · Fax 417-269-7212
Mailing address
1300 E Bradford PkwySpringfield, MO 65804-4264
Phone 417-269-5400 · Fax 417-269-7212
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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