Vince Edlo Camillo, MSW, SWLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-SWLC-LIC-64407 Issued in MT

Practice address

714 Stoneridge Dr Ste 1
Bozeman, MT 59718-7046

Phone

(406) 418-5400

NPI assigned

Aug 7, 2023

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1295417491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 NORTH AVE W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015354",
            "telephone_number": "614-216-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 STONERIDGE DR STE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187046",
            "telephone_number": "406-418-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMILLO",
        "first_name": "VINCE",
        "middle_name": "EDLO",
        "credential": "MSW, SWLC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-SWLC-LIC-64407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria L Cain, MIDWIFE
• Rylie Calhoun
• Ingrid Marie Calle, D.O.
• Cally Knapp, PH.D., PLLC
• Christine Louise Cameron, D.C.
• Jessie May Campbell, LMT
• John D Campbell, M.D.
• Kaitlin Tana Campbell, PHARM. D.
• Kristi Lynn Campbell, LMT
• Trevor Campbell

• Clinical Social Worker in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.