Provider Demographics
NPI:1699824011
Name:CAMERINO, JOSE (MSW)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:
Last Name:CAMERINO
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3786 CLARIDGE OVAL
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-4706
Mailing Address - Country:US
Mailing Address - Phone:216-321-7707
Mailing Address - Fax:
Practice Address - Street 1:3786 CLARIDGE OVAL
Practice Address - Street 2:
Practice Address - City:UNIVERSITY HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-4706
Practice Address - Country:US
Practice Address - Phone:216-321-7707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.00015141041C0700X
CALCS66671041C0700X
OHF.0000122106H00000X
CAMFC13799106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist