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NPI Code Detail

MEDICARE: JASMIN ELENA RIVERA CAMINO LMSW

MEDICARE: JASMIN ELENA RIVERA CAMINO LMSW
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1518805761
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMIN ELENA RIVERA CAMINO LMSW
Provider Business Mailing Address
First Line : 7741 170TH ST
Second Line :
City : FRESH MEADOWS
State : NY
Zip : 11366-1345
Country : US
Telephone Number : 347-301-1102
Fax Number :
Provider Business Practice Location Address
First Line : 2932 WILKINSON AVE FL 5
Second Line :
City : BRONX
State : NY
Zip : 10461-4004
Country : US
Telephone Number : 347-621-2185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2026
Last Update Date : 03/21/2026

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