Individual provider Active NPI

Howard J Camp, LCMSWR

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1770697385
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
020555 Issued in NY
Practice address
490 Ridge Rd E
Rochester, NY 14621-1229
Phone
(585) 922-2500
Fax
(585) 922-2710
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 020555 NY Primary

Addresses

Primary practice location

490 Ridge Rd E
Rochester, NY 14621-1229

Mailing address

PO Box 10787
Rochester, NY 14610-0787
Phone (585) 922-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070920000735 NY Practitioner - Clinical Social Worker 9537253588 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
020555NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Network, Inc. CurrentSince Feb 19, 2012 Accepting new patients
Knapp Street Psychiatry, PC Clinical CurrentSince Aug 11, 2021 Accepting new patients
Che Senior Psychological Services, PC Clinical CurrentSince Sep 21, 2013 Accepting new patients
Rochester General Hospital CurrentSince Feb 19, 2012 Accepting new patients
Rochester General Hospital CurrentSince Feb 19, 2012 Accepting new patients
Rochester General Hospital Current Accepting new patients

Locations

3512 Quentin Rd
Ste 110
Brooklyn, NY 11234
Phone (718) 854-8370

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

300 Cadman Plz W
Fl 12
Brooklyn Heights, NY 11201
Phone (212) 439-7955

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

5920 Van Doren St
Flushing, NY 11368
Phone (718) 592-2000

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

490 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-2500

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

Organizations & group practices 6

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770697385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10787",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146100787",
            "telephone_number": "585-922-1122",
            "fax_number": "585-922-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 RIDGE RD E",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146211229",
            "telephone_number": "585-922-2500",
            "fax_number": "585-922-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "HOWARD",
        "middle_name": "J",
        "credential": "LCMSWR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "020555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.