Active NPI
Lauren Chameleon Camiolo, LMSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1225319734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0842231
- Practice address
- 2367 2ND Ave
New York, NY 10035-3108 - Phone
- (212) 876-2300
- NPI assigned
- Aug 30, 2011
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0842231 | NY | Primary |
Addresses
Primary practice location
2367 2ND Ave
New York, NY 10035-3108
Mailing address
2367-69 Second Avenue
New York, NY 10035
Phone (212) 876-2300
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 |
|---|---|---|---|
| 0842231 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ses Operating Corp | Past | Accepting new patients | |
| Harlem East Life Plan | Past | Accepting new patients | |
| Harlem East Life Plan | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1205183191
-
- Community Health Clinic/Center
- New York, NY
- NPI 1902207061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1225319734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2367-69 SECOND AVENUE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10035",
"telephone_number": "212-876-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2367 2ND AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100353108",
"telephone_number": "212-876-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMIOLO",
"first_name": "LAUREN",
"middle_name": "CHAMELEON",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-30",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "0842231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.