Active NPI
Mary Katherine Van Camp, LMSW, ACSW
- Clinical Social Worker
- Hancock, MI
National Provider Identifier
1093828535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801070602
- Practice address
- 787 Market St.
Suites 9 & 10
Hancock, MI 49930 - Phone
- (906) 482-7762
- Fax
- (906) 482-7893
- NPI assigned
- Aug 17, 2006
- Last updated
- Dec 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801070602 | MI | Primary |
Addresses
Primary practice location
787 Market St.
Suites 9 & 10
Hancock, MI 49930
Mailing address
787 Market St.
Suites 9 &10
Hancock, MI 49930
Phone (906) 482-7762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801070602 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544140800000",
"number": "1093828535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "787 MARKET ST.",
"address_2": "SUITES 9 &10",
"city": "HANCOCK",
"state": "MI",
"postal_code": "49930",
"telephone_number": "906-482-7762",
"fax_number": "906-482-7893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "787 MARKET ST.",
"address_2": "SUITES 9 & 10",
"city": "HANCOCK",
"state": "MI",
"postal_code": "49930",
"telephone_number": "906-482-7762",
"fax_number": "906-482-7893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN CAMP",
"first_name": "MARY",
"middle_name": "KATHERINE",
"name_prefix": "Mrs.",
"credential": "LMSW, ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2018-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801070602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hancock, MI
- Upper Great Lakes Family Health Center
- Upper Great Lakes Family Health Center (Upper Great Lakes Family Health Nursing Home Pharmacy)
- Upper Great Lakes Family Health Center (Hancock Family Health Center)
- Upper Great Lakes Family Health Center (Upper Great Lakes Family Health Pharmacy Hancock)
- Colleen Marie Vallad-Hix, DO
- Lori E Vaughan, MD
- Michael Verive, M.D.
- Ronald A Voice, MD
- Brittany Andrianna Wadaga, FNP
- Webpoint24L.L.C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.