Healthcare Provider Details

I. General information

NPI: 1548114341
Provider Name (Legal Business Name): RENEE CAMERON LCSW
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3679 G RD
PALISADE CO
81526-8616
US

IV. Provider business mailing address

3131 1/2 SHAMROCK DR
GRAND JUNCTION CO
81504-4708
US

V. Phone/Fax

Practice location:
  • Phone: 970-254-4815
  • Fax:
Mailing address:
  • Phone: 970-254-4815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number09926375
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: