NPIMap

Organization Active NPI

Camille Mabin, LCSW LLC

  • Clinical Social Worker
  • Brandon, FL
National Provider Identifier
1083243653
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CAMILLE MABIN, LCSW LLC
Practice address
306 W Sadie St
Brandon, FL 33510-4440
Phone
(813) 606-5116
NPI assigned
Apr 6, 2020
Last updated
Mar 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Camille Mabin, LCSWNPI 1578606760
Title
LCSW/Sole Member
Phone
(813) 951-8110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

306 W Sadie St
Brandon, FL 33510-4440

Mailing address

306 W Sadie St
Brandon, FL 33510-4440
Phone (813) 606-5116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201111001778 FL Part B Supplier - Clinic/Group Practice 9537579057 Receives reassigned benefits from 1 practitioner
Practice locations: Wesley Chapel, FL; Tampa, FL; Brandon, FL

National Provider Directory

National Provider Directory

Locations

306 W Sadie St
Brandon, FL 33510
Phone (813) 438-5949

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1083243653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W SADIE ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104440",
            "telephone_number": "813-606-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W SADIE ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104440",
            "telephone_number": "813-606-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLE MABIN, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "MABIN",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "LCSW/SOLE MEMBER",
        "authorized_official_telephone_number": "813-951-8110",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.