Provider Demographics
NPI:1205699196
Name:EPSTEIN, CAMELA DAWN (LCSW)
Entity type:Individual
Prefix:
First Name:CAMELA
Middle Name:DAWN
Last Name:EPSTEIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 BABCOCK RD APT 503
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4635
Mailing Address - Country:US
Mailing Address - Phone:210-744-9930
Mailing Address - Fax:
Practice Address - Street 1:1819 BABCOCK RD APT 503
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4635
Practice Address - Country:US
Practice Address - Phone:210-744-9930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1040781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical