Active NPI
Camelot Community Care
- Social Worker
- Greenacres, FL
National Provider Identifier
1780933861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- CAMELOT COMMUNITY CARE
- Practice address
- 6416 Melaleuca Lane
Greenacres, FL 33464 - Phone
- (561) 649-0877
- NPI assigned
- Sep 5, 2012
- 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
- Mrs. Leslie Serena
- Title
- Executive Director
- Phone
- (561) 649-0877
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
6416 Melaleuca Lane
Greenacres, FL 33464
Mailing address
6416 Melaleuca Lane
Greenacres, FL 33464
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346803200000",
"number": "1780933861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6416 MELALEUCA LANE",
"city": "GREENACRES",
"state": "FL",
"postal_code": "33464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6416 MELALEUCA LANE",
"city": "GREENACRES",
"state": "FL",
"postal_code": "33464",
"telephone_number": "561-649-0877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMELOT COMMUNITY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-05",
"last_updated": "2012-09-05",
"status": "A",
"authorized_official_last_name": "SERENA",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "561-649-0877",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenacres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.