Provider Demographics
NPI:1295913549
Name:CAMINO, PAMELA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:
Last Name:CAMINO
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 1:302 FERRY CIR
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-4002
Mailing Address - Country:US
Mailing Address - Phone:503-997-9735
Mailing Address - Fax:
Practice Address - Street 1:2700 GATEWAY OAKS DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95833-4337
Practice Address - Country:US
Practice Address - Phone:503-997-9735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 252961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical