Active NPI
Camelia Theresa Dacosta, LCSW
- Clinical Social Worker
- Garner, NC
National Provider Identifier
1891081402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C007261
- Practice address
- 209 Suntree LN
Garner, NC 27529-6574 - Phone
- (917) 681-3099
- NPI assigned
- Jun 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C007261 | NC | Primary |
| Social Worker | 104100000X | C007261 | NC |
Addresses
Primary practice location
209 Suntree LN
Garner, NC 27529-6574
Mailing address
8717 Frank Grier Rd
Charlotte, NC 28215-9430
Phone (917) 681-3099
Other practice location 1
2300 Ramsey St
Fayetteville, NC 28301-3856
Phone (910) 482-5292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C007261 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lavni, Inc | Current | Accepting new patients |
Locations
804 S Garnett St
Henderson, NC 27536
Phone (980) 267-3826
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Henderson, NC
- NPI 1215673256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1891081402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8717 FRANK GRIER RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282159430",
"telephone_number": "917-681-3099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 SUNTREE LN",
"city": "GARNER",
"state": "NC",
"postal_code": "275296574",
"telephone_number": "917-681-3099"
}
],
"practiceLocations": [
{
"address_1": "2300 Ramsey St",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283013856",
"country_code": "US",
"telephone_number": "910-482-5292",
"fax_number": "910-822-7911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DACOSTA",
"first_name": "CAMELIA",
"middle_name": "THERESA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C007261",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "C007261",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.