Active NPI
Camille Waldron
- Social Worker
- Elmira, NY
National Provider Identifier
1609279868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 091020
- Practice address
- 550 E Church St
Elmira, NY 14901-2850 - Phone
- (607) 737-2490
- Fax
- (607) 737-2495
- NPI assigned
- Oct 2, 2014
- 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 | 091020 | NY | Primary |
Addresses
Primary practice location
550 E Church St
Elmira, NY 14901-2850
Mailing address
104 Williams Glen Rd
Ithaca, NY 14850-2054
Phone (607) 737-2490
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Services of Chemung County, Inc. | Social Worker | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412208000000",
"number": "1609279868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WILLIAMS GLEN RD",
"city": "ITHACA",
"state": "NY",
"postal_code": "148502054",
"telephone_number": "607-737-2490",
"fax_number": "607-737-2495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 E CHURCH ST",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149012850",
"telephone_number": "607-737-2490",
"fax_number": "607-737-2495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDRON",
"first_name": "CAMILLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-02",
"last_updated": "2014-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "091020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.