Active NPI
Sandra Marie Camarena, LCSW INTERN LICENSE
- Professional Counselor
- San Francisco, CA
National Provider Identifier
1215088752
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Sep 20, 2010.
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- ASW 13669
- Practice address
- 2712 Mission St
San Francisco, CA 94110-3104 - Phone
- (415) 401-2700
- Fax
- (415) 401-2741
- NPI assigned
- Jan 12, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | ASW 13669 | CA | Primary |
Addresses
Primary practice location
2712 Mission St
San Francisco, CA 94110-3104
Mailing address
1380 Howard St
5TH Floor
San Francisco, CA 94103-2638
Phone (415) 255-3699
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW 13669 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215088752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 HOWARD ST",
"address_2": "5TH FLOOR",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032638",
"telephone_number": "415-255-3699",
"fax_number": "415-252-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2712 MISSION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103104",
"telephone_number": "415-401-2700",
"fax_number": "415-401-2741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMARENA",
"first_name": "SANDRA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCSW INTERN LICENSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "ASW 13669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.