Provider Demographics
NPI:1881312833
Name:CAMACHO, JOSEPH B (MSW)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:B
Last Name:CAMACHO
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 1:7700 EDGEWATER DR STE 125
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94621-3020
Mailing Address - Country:US
Mailing Address - Phone:510-562-7906
Mailing Address - Fax:
Practice Address - Street 1:7700 EDGEWATER DR STE 125
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94621-3020
Practice Address - Country:US
Practice Address - Phone:510-562-7906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical