Healthcare Provider Details

I. General information

NPI: 1164844817
Provider Name (Legal Business Name): CECILIA CAMACHO VALEZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2014
Last Update Date: 01/10/2023
Certification Date: 01/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2737 W CECIL AVE
DELANO CA
93215-1821
US

IV. Provider business mailing address

PO BOX 21134
BAKERSFIELD CA
93390-1134
US

V. Phone/Fax

Practice location:
  • Phone: 661-721-2345
  • Fax:
Mailing address:
  • Phone: 661-900-0497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number76108
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: