REGINA ELIZA CAMACHO (NPI# 1366691362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366691362 |
| Entity Type | Individual |
| Full Name | REGINA ELIZA CAMACHO |
| Other Name | REGINA ELIZA ACOSTA |
| Credential | LCSW |
| Practice Address |
1555 Parkmoor Ave San Jose CA 95128-2407 |
| Mailing Address |
80 Great Oaks Blvd B-502 San Jose CA 95119 |
| Practice Telephone | 4082820402 |
| Practice Fax Number | 4082820400 |
| Mailing Telephone | 4083633000 |
| Mailing Fax Number | 4083633046 |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2016-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW68521 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1555 PARKMOOR AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619927340 | Hebe Elisa Estrella-schultz | Psychiatry & Neurology | 1555 Parkmoor Ave, San Jose, CA 95128-2407 | 2006-05-11 |
| 1841803988 | Rob Kim Baum | Counselor | 1555 Parkmoor Ave, San Jose, CA 95128-2407 | 2020-08-28 |
| 1144831413 | Favin Mehari | Counselor | 1555 Parkmoor Ave, San Jose, CA 95128-2407 | 2020-08-11 |
| 1821609314 | Mary Irwin | Physical Therapist | 1555 Parkmoor Ave, San Jose, CA 95128-2407 | 2020-08-10 |
| 1376154872 | Jennifer Fernandez | Counselor | 1555 Parkmoor Ave, San Jose, CA 95128-2407 | 2020-08-10 |
| 1528679024 | Ulises Guarneros | Counselor | 1555 Parkmoor Ave, San Jose, CA 95128-2407 | 2020-08-10 |
| 1023634524 | Annie Tran | Counselor | 1555 Parkmoor Ave, San Jose, CA 95128-2407 | 2020-06-19 |
| 1295354546 | Lisa Weber | Counselor | 1555 Parkmoor Ave, San Jose, CA 95128-2407 | 2020-04-15 |
| 1851910194 | Audrea Bishop | Counselor | 1555 Parkmoor Ave, San Jose, CA 95128-2407 | 2020-04-15 |
| 1013543743 | Karina Goodwin | Counselor | 1555 Parkmoor Ave, San Jose, CA 95128-2407 | 2020-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633708 | Efrat Shemesh Katan | Social Worker | 1025 Wunderlich Dr, San Jose, CA 95129-3159 | 2020-06-09 |
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1083236905 | Carey Gil | Social Worker | 1885 The Alameda Ste 120, San Jose, CA 95126-1732 | 2020-05-13 |
| 1912555996 | Marie Danh | Social Worker | 701 Miller St, San Jose, CA 95110-2121 | 2019-09-03 |
| 1194203497 | Janet Caudillo | Social Worker | 373 W Julian St, San Jose, CA 95110-2319 | 2018-07-30 |
| 1699267971 | Wendy Shapiro | Social Worker | 1245 S Winchester Blvd Ste 306, San Jose, CA 95128-3908 | 2018-06-03 |
| 1871099523 | Elisse Reyna | Social Worker | 2670 S White Rd Ste 170, San Jose, CA 95148-2071 | 2018-04-02 |
| 1487166062 | Giorgio Andrea Quittan I | Social Worker | 1046 W Taylor St Ste 204, San Jose, CA 95126-1815 | 2017-11-03 |
| 1942712211 | Zenon Post | Social Worker | 31 N 2nd St # 265, San Jose, CA 95113-1231 | 2017-10-26 |
| 1578010526 | Gayle Peitso | Social Worker | 15780 Highland Dr, San Jose, CA 95127-1741 | 2016-09-07 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.