MEDICARE: CAMERON DU PONT

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	135732	CA

General Provider Information

NPI Number	:	1578444089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMERON DU PONT

Provider Business Mailing Address
First Line	:	3810 ROSIN CT
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-1656
Country	:	US
Telephone Number	:	916-567-4222
Fax Number	:	916-567-4220

Provider Business Practice Location Address
First Line	:	3810 ROSIN CT
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-1656
Country	:	US
Telephone Number	:	916-567-4222
Fax Number	:	916-567-4220

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

Provider Enumeration Date	:	09/10/2025
Last Update Date	:	03/02/2026

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Directions to “ CAMERON DU PONT ” Practice Location

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