Camille B McDaniel

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P018892 Issued in NC

Practice address

7629 Purfoy Rd Ste 113
Fuquay Varina, NC 27526-9550

Phone

(919) 285-4802

NPI assigned

May 19, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Foundations Family Therapy of North Carolina, PLLC

  • Community/Behavioral Health Agency
  • Fuquay Varina, NC
  • NPI 1366793895
  NPD (past)

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1225729262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 COKESBURY RD",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275269171",
            "telephone_number": "919-795-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 PURFOY RD STE 113",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275269550",
            "telephone_number": "919-285-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "CAMILLE",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyanna Nikohl McCafferty, LCSWA
• Jkiyah Renea McClarin
• Leah C. McConkey, M.S., CCC-SLP
• Jessica G McConnell, DDS
• Bryden Sloan McCormick, D.D.S.
• Shermonique McDonald
• Malaya McFadyen
• Sarah McGovern
• Kellye Jane Gist McKendree, M.A., L.P.C.
• James Spain McKenzie, DDS PA

• Clinical Social Worker in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.