Provider Demographics
NPI:1669951927
Name:ESPINOZA, CAMILLE SMITH (MSW, MSPH)
Entity type:Individual
Prefix:
First Name:CAMILLE
Middle Name:SMITH
Last Name:ESPINOZA
Suffix:
Gender:F
Credentials:MSW, MSPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 18TH ST NW # 304
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-1813
Mailing Address - Country:US
Mailing Address - Phone:020-275-0341
Mailing Address - Fax:
Practice Address - Street 1:2202 18TH ST NW # 304
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-1813
Practice Address - Country:US
Practice Address - Phone:202-750-3410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-08
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23647104100000X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker