Individual provider Active NPI

Jacquelyn Camacho, LCSW

  • Clinical Social Worker
  • Edinburg, TX
National Provider Identifier
1174216048
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
65609 Issued in TX
Practice address
5510 Raphael Dr
Edinburg, TX 78539-1407
Phone
(956) 362-4357
NPI assigned
May 29, 2023
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 65609 TX Primary

Addresses

Primary practice location

5510 Raphael Dr
Edinburg, TX 78539-1407

Mailing address

5510 Raphael Dr
Edinburg, TX 78539-1407
Phone (956) 362-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230925001147 TX Practitioner - Clinical Social Worker 3072967033 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65609TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tropical Texas Behavioral Health CurrentSince Nov 14, 2024 Accepting new patients
Tropical Texas Behavioral Health CurrentSince Nov 14, 2024 Accepting new patients

Locations

1901 S 24th Ave
Edinburg, TX 78539
Phone (956) 289-7025

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1174216048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 RAPHAEL DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391407",
            "telephone_number": "956-362-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 RAPHAEL DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391407",
            "telephone_number": "956-362-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "JACQUELYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "65609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.