MEDICARE: ELIJAH DECAMILLO 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	SW23658	FL

General Provider Information

NPI Number	:	1154122042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIJAH DECAMILLO LCSW

Provider Business Mailing Address
First Line	:	2507 CALLAWAY RD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303-5267
Country	:	US
Telephone Number	:	850-644-6543
Fax Number	:

Provider Business Practice Location Address
First Line	:	2507 CALLAWAY RD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303-5267
Country	:	US
Telephone Number	:	850-644-6543
Fax Number	:

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

Provider Enumeration Date	:	03/24/2025
Last Update Date	:	03/24/2025

Similar Medicare Providers

1699116418 — RICHARD MICHAEL DRURY PSY.D.
Practice Location Address:

2507 CALLAWAY RD
TALLAHASSEE, FL
32303-5267

Practice Phone: 850-644-6543
Practice Fax:

1386092302 — SAMANTHA ESPINOSA LCSW
Practice Location Address:

2507 CALLAWAY RD
TALLAHASSEE, FL
32303-5267

Practice Phone: 850-644-6543
Practice Fax:

1154001543 — TANYA HUGHES
Practice Location Address:

2507 CALLAWAY RD
TALLAHASSEE, FL
32303-5267

Practice Phone: 850-644-6543
Practice Fax:

1770166456 — MADISON LYNN HENZEL
Practice Location Address:

1000 W THARPE ST
TALLAHASSEE, FL
32303-5374

Practice Phone: 813-295-8383
Practice Fax:

1053736942 — HEATHER SMITH HOYT NP-C
Practice Location Address:

1240 THOMASVILLE RD STE 200
TALLAHASSEE, FL
32303-8707

Practice Phone: 850-290-4799
Practice Fax:

1225251978 — MS. FRANCES MICHELLE STEVENS A.R.N.P.
Practice Location Address:

1690 N MONROE ST
TALLAHASSEE, FL
32303-5533

Practice Phone: 850-385-2222
Practice Fax: 850-385-6838

Directions to “ ELIJAH DECAMILLO 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.