Maria Magdalena Camacho, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8851793 Issued in ID

Practice address

552 Arches St
Shelley, ID 83274-1035

Phone

(702) 823-6105

NPI assigned

Mar 28, 2011

Last updated

Mar 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Health Care Concepts IncGroup PAC ID 8628391117, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Innovative Health Care Concepts, Inc

  • Multi-Specialty Clinic/Center
  • Idaho Falls, ID
  • NPI 1427108323
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1881993012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 ARCHES ST",
            "city": "SHELLEY",
            "state": "ID",
            "postal_code": "832741035",
            "telephone_number": "702-823-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 ARCHES ST",
            "city": "SHELLEY",
            "state": "ID",
            "postal_code": "832741035",
            "telephone_number": "702-823-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "MARIA MAGDALENA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8851793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Bolander
• Samantha Ryleigh Brandt, DPT, PT
• Broulim Supermarkets, LLC (Broulim's Pharmacy #9 - Shelley)
• Chrystal Dawn Browning, PT, DPT, PCS
• Bryce D Hanson, DMD PA (River Valley Dental Care)
• Alexis Carlson
• Curtis W Carpenter, D.D.S.
• Kristee K. Criddle, LISW
• Cruz Therapy Services (Shelley Physical Therapy & Fitness Center)
• Joel Cruz, PT

• Clinical Social Worker in Shelley, ID
• Providers in Shelley, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.