Active NPI
Kevin S Cameron, LCSW-C, LLC
- Clinical Social Worker
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19607
- Legal business name
- KEVIN S CAMERON, LCSW-C, LLC
- Practice address
- 104 Forbes St Ste 205
Annapolis, MD 21401-1598 - Phone
- (443) 833-5980
- Fax
- (410) 295-0606
- NPI assigned
- Feb 13, 2018
- Last updated
- Apr 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Scott Cameron, MSW
- Title
- Provider
- Phone
- (515) 314-3400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 19607 | MD | Primary |
Addresses
Primary practice location
104 Forbes St Ste 205
Annapolis, MD 21401-1598
Mailing address
101 Edge Knol LN
Queenstown, MD 21658-1341
Phone (515) 314-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 818015MD | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
112 Saint Claire Pl
Ste 202
Stevensville, MD 21666
Phone (443) 249-3162
141 Log Canoe Cir
Stevensville, MD 21666
Phone (410) 827-6300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Queenstown, MD
- NPI 1326281536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523318400000",
"number": "1528568854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 EDGE KNOL LN",
"city": "QUEENSTOWN",
"state": "MD",
"postal_code": "216581341",
"telephone_number": "515-314-3400",
"fax_number": "410-295-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 FORBES ST STE 205",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011598",
"telephone_number": "443-833-5980",
"fax_number": "410-295-0606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEVIN S CAMERON, LCSW-C, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-13",
"last_updated": "2018-04-10",
"status": "A",
"authorized_official_last_name": "CAMERON",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "515-314-3400",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "19607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "818015MD",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.