Earl Camp, LCSW
Social Worker, Clinical in Suffolk, VA. Individual provider (NPI-1).
NPI number1962079566
StatusActive
Last updated in NPPESJun 10, 2021
Details
- NPI
- 1962079566
- Entity type
- Individual (NPI-1)
- Name
- Earl Camp
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2021
- Certification date
- Jun 10, 2021
- Last updated
- Jun 10, 2021
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 | 0904012873 | VA | Yes |
Practice location
7025 Harbour View Blvd Ste 119Suffolk, VA 23435-2762
Phone 757-758-5106
Mailing address
7025 Harbour View Blvd Ste 119Suffolk, VA 23435-2762
Phone 757-758-5106
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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