MEDICARE: BRENDA GONZALEZ CAMACHO LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW8837	FL
2	246R00000X	Pathology Technician	TN 36567	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134399942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA GONZALEZ CAMACHO LCSW

Provider Business Mailing Address
First Line	:	PO BOX 496016
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33949-6016
Country	:	US
Telephone Number	:	941-613-1356
Fax Number	:

Provider Business Practice Location Address
First Line	:	22099 ELMIRA BLVD
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33952-7018
Country	:	US
Telephone Number	:	941-613-1356
Fax Number	:	941-613-1591

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2008
Last Update Date	:	09/25/2015

Similar Medicare Providers

1982685285 — MARGARET G MAYO MD
Practice Location Address:

22091 ELMIRA BLVD
PORT CHARLOTTE, FL
33952-7018

Practice Phone: 941-624-4748
Practice Fax: 941-324-4201

1184605495 — ARTURO RODRIGUEZ-MARTIN MD PL
Practice Location Address:

22099 ELMIRA BLVD
PORT CHARLOTTE, FL
33952-7018

Practice Phone: 941-613-1351
Practice Fax: 941-613-1591

1962445767 — ARTURO RODRIGUEZ-MARTIN MD PL
Practice Location Address:

22099 ELMIRA BLVD
PORT CHARLOTTE, FL
33952-7018

Practice Phone: 941-613-1356
Practice Fax: 941-613-1591

1598832529 — MS. ANNETTE FIEDLER LMHC
Practice Location Address:

22119 ELMIRA BLVD
PORT CHARLOTTE, FL
33952-7018

Practice Phone: 941-255-0616
Practice Fax: 941-295-7973

1184749871 — MARGARET G. MAYO, M.D. PA
Practice Location Address:

22091 ELMIRA BLVD
PORT CHARLOTTE, FL
33952-7018

Practice Phone: 941-624-4748
Practice Fax:

1629380928 — RUBEN GUZMAN MD PA
Practice Location Address:

22099 ELMIRA BLVD
PORT CHARLOTTE, FL
33952-7018

Practice Phone: 941-766-0400
Practice Fax: 941-766-1009

Directions to “ BRENDA GONZALEZ CAMACHO LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.