Active NPI
Eletta Lee Cameron, LCSW
- Clinical Social Worker
- Munhall, PA
National Provider Identifier
1164735874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW019969
- Practice address
- 3506 Main St
Munhall, PA 15120 - Phone
- (412) 403-8196
- NPI assigned
- Jul 22, 2010
- Last updated
- Jul 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | CW019969 | PA | Primary |
Addresses
Primary practice location
3506 Main St
Munhall, PA 15120
Mailing address
825 E 10TH Ave Lowr Level
Munhall, PA 15120-1924
Phone (412) 403-8196
Other practice location 1
373 Burrows St
Pittsburgh, PA 15213-2201
Phone (412) 383-1556
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 |
|---|---|---|---|
| CW019969 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1164735874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 E 10TH AVE LOWR LEVEL",
"city": "MUNHALL",
"state": "PA",
"postal_code": "151201924",
"telephone_number": "412-403-8196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3506 MAIN ST",
"city": "MUNHALL",
"state": "PA",
"postal_code": "15120",
"telephone_number": "412-403-8196"
}
],
"practiceLocations": [
{
"address_1": "373 Burrows St",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152132201",
"country_code": "US",
"telephone_number": "412-383-1556",
"fax_number": "412-383-2133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMERON",
"first_name": "ELETTA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-22",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW019969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Munhall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.