Active NPI
Yolandri Camilo, LMSW, CASAC-T
- Clinical Social Worker
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 097447-01
- Practice address
- 1880 Bathgate Ave
Bronx, NY 10457-6259 - Phone
- (182) 945-8917
- Fax
- (718) 294-2468
- NPI assigned
- Jun 1, 2020
- Last updated
- Sep 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NY | ||
| Social Worker | 104100000X | 108728 | NY | |
| Clinical Social Worker | 1041C0700X | 097447-01 | NY | Primary |
Addresses
Primary practice location
1880 Bathgate Ave
Bronx, NY 10457-6259
Mailing address
60 Madison Ave FL 5
New York, NY 10010-1600
Phone (212) 545-2400
Other practice location 1
975 Westchester Ave
Bronx, NY 10459-3204
Phone (718) 320-4466
Other practice location 2
255 E Houston St
New York, NY 10002-1013
Phone (212) 477-1120
Other practice location 3
1900 2nd Ave
New York, NY 10029-7406
Phone (212) 360-7893
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241210003701 | NY | Practitioner - Clinical Social Worker | 2961938279 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108728 | NY | MD | Social Worker |
| 097447-01 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Healthcare Network, Inc. | Current | Accepting new patients | |
| Community Healthcare Network Inc | Past | Accepting new patients |
Locations
4215 3rd Ave
#2
Bronx, NY 10457
Phone (718) 294-5891
999 Blake Ave
Brooklyn, NY 11208
Phone (718) 277-8303
255 E Houston St
New York, NY 10002
Phone (212) 477-1120
44 W 28th St
Fl 5
New York, NY 10001
Phone (212) 545-2439
60 Madison Ave
Fl 5
New York, NY 10010
Phone (212) 545-2400
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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.
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1639459142
-
dba Bronx Health Center
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1316014103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1811511371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MADISON AVE FL 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100101600",
"telephone_number": "212-545-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 BATHGATE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104576259",
"telephone_number": "182-945-8917",
"fax_number": "718-294-2468"
}
],
"practiceLocations": [
{
"address_1": "975 Westchester Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104593204",
"country_code": "US",
"telephone_number": "718-320-4466",
"fax_number": "718-991-3829",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "255 E Houston St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100021013",
"country_code": "US",
"telephone_number": "212-477-1120",
"fax_number": "212-477-8957",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 2nd Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100297406",
"country_code": "US",
"telephone_number": "212-360-7893",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMILO",
"first_name": "YOLANDRI",
"name_prefix": "Ms.",
"credential": "LMSW, CASAC-T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-01",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "108728",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "097447-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.