Debra Camacho Fuentes, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

109346 Issued in TX

Practice address

11788 Culebra Rd
San Antonio, TX 78253-0013

Phone

(361) 777-6296

NPI assigned

Aug 6, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726358400000",
    "number": "1114757929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11788 CULEBRA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782530013",
            "telephone_number": "361-777-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11788 CULEBRA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782530013",
            "telephone_number": "361-777-6296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6391 De Zavala Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782492144",
            "country_code": "US",
            "telephone_number": "210-286-9339",
            "fax_number": "210-951-8962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11901 Toepperwein Rd",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782333161",
            "country_code": "US",
            "telephone_number": "210-286-9339",
            "fax_number": "210-951-8962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMACHO FUENTES",
        "first_name": "DEBRA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-09-15",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calzada Medical Associates PA
• Pedro A. Calzada, M.D.
• Valerie Calzada, NP-C
• Florita Calzoncit
• Cam Janse D.D.S. P.C
• Anna Camacho
• Christine Ramos Camacho, MD
• Dominique Camacho, RN
• Edward James Camacho, DDS
• Emily Janae Camacho

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.