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NPI 1699824011

NPI 1699824011 : JOSE CAMERINO MSW : UNIVERSITY HEIGHTS, OH

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General NPI Number Information
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    NPI Number           |    1699824011
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    Entity Type          |    Individual 
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    Provider Name        |    JOSE CAMERINO MSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/09/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    3786 CLARIDGE OVAL 
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    City                 |    UNIVERSITY HEIGHTS
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    State                |    OH
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    Zip                  |    44118-4706
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    Country              |    US
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    Telephone            |    216-321-7707
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3786 CLARIDGE OVAL 
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    City                 |    UNIVERSITY HEIGHTS
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    State                |    OH
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    Zip                  |    44118-4706
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    Country              |    US
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    Telephone            |    216-321-7707
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    I.0001514
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    LCS6667
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    F.0000122
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    License Number State |    OH
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Taxonomy #4
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MFC13799
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    License Number State |    CA
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