Provider Demographics
NPI:1871037564
Name:CAMACHO, FRANCISCO (LMSW)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:
Last Name:CAMACHO
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 N MAIN ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06702-1443
Mailing Address - Country:US
Mailing Address - Phone:203-437-8896
Mailing Address - Fax:203-437-8456
Practice Address - Street 1:60 N MAIN ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06702-1443
Practice Address - Country:US
Practice Address - Phone:203-437-8896
Practice Address - Fax:203-437-8456
Is Sole Proprietor?:No
Enumeration Date:2016-12-14
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0034731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical