Active NPI
Camille Joy Eversley, LMSW
- Social Worker
- Brooklyn, NY
National Provider Identifier
1376880740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7939611
- Practice address
- 749 Marcy Ave
Brooklyn, NY 11216-1219 - Phone
- (347) 351-3729
- Fax
- (347) 715-2661
- NPI assigned
- Jan 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 7939611 | NY | Primary |
Addresses
Primary practice location
749 Marcy Ave
Brooklyn, NY 11216-1219
Mailing address
749 Marcy Ave
Brooklyn, NY 11216-1219
Phone (347) 351-3729
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 |
|---|---|---|---|
| 7939611 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357344000000",
"number": "1376880740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "749 MARCY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112161219",
"telephone_number": "347-351-3729",
"fax_number": "347-715-2661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 MARCY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112161219",
"telephone_number": "347-351-3729",
"fax_number": "347-715-2661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERSLEY",
"first_name": "CAMILLE",
"middle_name": "JOY",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-05",
"last_updated": "2013-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "7939611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.