Rosa Lizzette Camacho-Graham

Primary specialty

Social WorkerTaxonomy code 104100000X

License

092966-1 Issued in NY

Practice address

293 Upper Falls Blvd
Rochester, NY 14605-2184

Phone

(585) 922-0212

Fax

(585) 922-0200

NPI assigned

Apr 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Rosa Lizzette Camacho Other name

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": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1144718610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 UPPER FALLS BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146052184",
            "telephone_number": "585-922-0212",
            "fax_number": "585-922-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 UPPER FALLS BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146052184",
            "telephone_number": "585-922-0212",
            "fax_number": "585-922-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO-GRAHAM",
        "first_name": "ROSA",
        "middle_name": "LIZZETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "092966-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSA",
            "last_name": "CAMACHO",
            "middle_name": "LIZZETTE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Timothy Michael Calnon, DDS
• William Robert Calnon, DDS
• Anne F Calvaruso, NP
• Laura M Calvi, M.D.
• Jessica Calzolari, PA-S
• Fernando Alonso Camacho
• Ellie Trafford Camanzo
• Samuel Joseph Camarata, D.C.
• Cristina Camardo
• Camardo, Hall & Hoover Associates

• Social Worker in Rochester, NY
• Providers in Rochester, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.

Verify at the official NPI Registry.