Individual provider Active NPI

Juan Carlos Camps, LCSW

  • Clinical Social Worker
  • Miami Beach, FL
National Provider Identifier
1649540147
Registry record updated Dec 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 10567 Issued in FL
Practice address
1250 Alton Rd
Unit #5D
Miami Beach, FL 33139-3881
Phone
(305) 606-4372
NPI assigned
Dec 31, 2011
Last updated
Dec 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 10567 FL Primary

Addresses

Primary practice location

1250 Alton Rd
Unit #5D
Miami Beach, FL 33139-3881

Mailing address

1250 Alton Rd
Unit #5D
Miami Beach, FL 33139-3881
Phone (305) 606-4372

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 10567FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: juancamps@tdh.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1325289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325289600000",
    "number": "1649540147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 ALTON RD",
            "address_2": "UNIT #5D",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393881",
            "telephone_number": "305-606-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 ALTON RD",
            "address_2": "UNIT #5D",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393881",
            "telephone_number": "305-606-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPS",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-31",
        "last_updated": "2011-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 10567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2011; 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.