Individual provider Active NPI

Camila Rene Azuero, MSW, LICSW

  • Clinical Social Worker
  • Cambridge, MA
National Provider Identifier
1235367491
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117298 Issued in MA
Practice address
1439 Cambridge St
Cambridge, MA 02139-1106
Phone
(617) 575-5661
NPI assigned
Jun 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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 117298 MA Primary

Addresses

Primary practice location

1439 Cambridge St
Cambridge, MA 02139-1106

Mailing address

294 Pleasant St Ste 102
Stoughton, MA 02072-2571
Phone (508) 443-1305

Other practice location 1

5 Sacramento St
Cambridge, MA 02138-1812
Phone (617) 354-2275

Other practice location 2

294 Pleasant St Ste 102
Stoughton, MA 02072-2571
Phone (508) 443-1305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20171020001532 MA Practitioner - Clinical Social Worker 7416223326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.27 of 100Reported as group
Quality
77.51
Promoting interoperability
100
Improvement activities
40
Cost
76.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117298MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Into Wellness LLC CurrentSince Jun 21, 2020 Accepting new patients
Cambridge Public Health Commission CurrentSince Aug 26, 2017 Accepting new patients
Cambridge Public Health Commission CurrentSince Aug 26, 2017 Accepting new patients

Locations

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

1493 Cambridge St
#B13
Cambridge, MA 02139

350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583

294 Pleasant St
Ste 102
Stoughton, MA 02072
Phone (508) 443-1305

Interoperability endpoints

  • Direct secure messaging: cazuero63325@direct.challiance.masshiway.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1235367491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 PLEASANT ST STE 102",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020722571",
            "telephone_number": "508-443-1305",
            "fax_number": "888-315-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 CAMBRIDGE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391106",
            "telephone_number": "617-575-5661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Sacramento St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021381812",
            "country_code": "US",
            "telephone_number": "617-354-2275",
            "fax_number": "617-547-4356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "294 Pleasant St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Stoughton",
            "state": "MA",
            "postal_code": "020722571",
            "country_code": "US",
            "telephone_number": "508-443-1305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZUERO",
        "first_name": "CAMILA",
        "middle_name": "RENE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.