Active NPI
Camille Wilmsen
- Clinical Social Worker
- Phoenix, AZ
National Provider Identifier
1487125175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1010 E McDowell Rd # 410
Phoenix, AZ 85006-2606 - Phone
- (480) 818-9078
- NPI assigned
- Dec 6, 2018
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1010 E McDowell Rd # 410
Phoenix, AZ 85006-2606
Mailing address
14638 N 7TH PL
Phoenix, AZ 85022-3776
Other practice location 1
1448 N Milwaukee Ave # 201
Chicago, IL 60622-6412
Phone (312) 476-9064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1010 E McDowell Rd
Suite 410
Phoenix, AZ 85006-2606
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mojave Complete Recovery PLLC | Current | Accepting new patients |
Locations
1010 E McDowell Rd
Ste 410
Phoenix, AZ 85006
Phone (480) 818-9078
Interoperability endpoints
- camille.wilmsen.1@33482.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1336909241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1487125175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14638 N 7TH PL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850223776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 E MCDOWELL RD # 410",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062606",
"telephone_number": "480-818-9078"
}
],
"practiceLocations": [
{
"address_1": "1448 N Milwaukee Ave # 201",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606226412",
"country_code": "US",
"telephone_number": "312-476-9064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILMSEN",
"first_name": "CAMILLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-06",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.