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NPI Code Detail

MEDICARE: CAMILLE SMITH

MEDICARE: CAMILLE SMITH
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
1104100000XSocial Worker105622TX

General Provider Information

NPI Number : 1821922394
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMILLE SMITH
Provider Business Mailing Address
First Line : 3005 S LAMAR BLVD STE 109D
Second Line :
City : AUSTIN
State : TX
Zip : 78704-4785
Country : US
Telephone Number : 512-960-4533
Fax Number : 512-887-3970
Provider Business Practice Location Address
First Line : 1221 W BEN WHITE BLVD STE 210A
Second Line :
City : AUSTIN
State : TX
Zip : 78704-7182
Country : US
Telephone Number : 512-960-4533
Fax Number : 512-887-3970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “ CAMILLE SMITH ” Practice Location

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