Mary Frances Camp, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

64347 Issued in TX

Practice address

1715 FM 1626 Ste 102
Manchaca, TX 78652-3549

Phone

(512) 280-5315

Fax

(512) 280-5316

NPI assigned

Nov 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• South Austin Counseling Services, LLC

  • Professional Counselor
  • Manchaca, TX
  • NPI 1487952065
  NPD (past)
• A New View Counseling and Psychological Services

  • Clinical Social Worker
  • Riverton, UT
  • NPI 1730654831
  NPD (past)

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1740824606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 FM 1626 STE 102",
            "city": "MANCHACA",
            "state": "TX",
            "postal_code": "786523549",
            "telephone_number": "512-280-5315",
            "fax_number": "512-280-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 FM 1626 STE 102",
            "city": "MANCHACA",
            "state": "TX",
            "postal_code": "786523549",
            "telephone_number": "512-280-5315",
            "fax_number": "512-280-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "MARY",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "64347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF EXAMINERS OF SOCIAL WORKERS",
            "identifier": "64347",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tammie@southaustincounselingservices.com",
            "affiliation": "N",
            "endpointDescription": "Director Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1715 Fm 1626 Ste 102",
            "city": "Manchaca",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786523549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erica Anderson, LM
• Bianelly Valdez
• Mavis Ann Bradsher, LCSW
• Lisa Ann Burchett, PA-C
• BVW Express Care LLC
• Capital Area Psychological & Evaluation Services, PLLC
• Bradford Colbert, LPC-I
• Connected and Committed
• Sam Cunningham
• Deborah Deon Daniel, LPC

• All providers in Manchaca, TX
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.