Individual provider Active NPI

Camille Joyce O'Brien, LCSW

  • Clinical Social Worker
  • Eatontown, NJ
National Provider Identifier
1275140907
Registry record updated Sep 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05466600 Issued in NJ
Practice address
400 Crawford St
Eatontown, NJ 07724-2959
Phone
(908) 247-9671
NPI assigned
Sep 27, 2020
Last updated
Sep 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 621214 NJ
Clinical Social Worker 1041C0700X 44SC05466600 NJ Primary

Addresses

Primary practice location

400 Crawford St
Eatontown, NJ 07724-2959

Mailing address

400 Crawford St
Eatontown, NJ 07724-2959
Phone (908) 247-9671

Other names 1

  • Camille Joyce Calame Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20201016000161 NJ Practitioner - Clinical Social Worker 7113347907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Exceptional Wellness Counseling, Inc.Group PAC ID 2668892449, 27 clinicians

Practice addresses (Care Compare)

219 Taylors Mills Rd
Manalapan, NJ 07726-3255
Phone (908) 415-2042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05466600NJMDClinical Social Worker
621214NJMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Wellness Counseling, Inc. Clinical CurrentSince Apr 30, 2025 Accepting new patients

Locations

219 Taylors Mills Rd
Manalapan, NJ 07726
Phone (732) 780-7650

Organizations & group practices 1

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": "1601164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601164800000",
    "number": "1275140907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CRAWFORD ST",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242959",
            "telephone_number": "908-247-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CRAWFORD ST",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242959",
            "telephone_number": "908-247-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "CAMILLE",
        "middle_name": "JOYCE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-27",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NJ",
            "license": "621214",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05466600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "CALAME",
            "middle_name": "JOYCE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.