Individual provider Active NPI

Yolandri Camilo, LMSW, CASAC-T

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1811511371
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097447-01 Issued in NY
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241210003701 NY Practitioner - Clinical Social Worker 2961938279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108728NYMDSocial Worker
097447-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthcare Network, Inc. CurrentSince Sep 29, 2024 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.

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

Verify at the official NPI Registry.