MEDICARE: CAMILLE MARIE ROSE 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	20223	CA

General Provider Information

NPI Number	:	1841218823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMILLE MARIE ROSE LCSW

Provider Business Mailing Address
First Line	:	4025 CAMINO DEL RIO S STE 300
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-4108
Country	:	US
Telephone Number	:	619-339-4465
Fax Number	:	619-542-7715

Provider Business Practice Location Address
First Line	:	4025 CAMINO DEL RIO S STE 300
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-4108
Country	:	US
Telephone Number	:	619-339-4465
Fax Number	:	619-542-7715

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1770354235 — CARL HENRY GREGORY JR.
Practice Location Address:

4025 CAMINO DEL RIO S STE 300
SAN DIEGO, CA
92108-4108

Practice Phone: 619-458-3944
Practice Fax:

1831273960 — NANCY LIN
Practice Location Address:

4025 CAMINO DEL RIO S 300
SAN DIEGO, CA
92108-4108

Practice Phone: 619-618-2020
Practice Fax: 619-618-2525

1861756983 — ERIN CRAGIN MS
Practice Location Address:

4025 CAMINO DEL RIO S STE 300
SAN DIEGO, CA
92108-4108

Practice Phone: 619-807-1329
Practice Fax:

1720334535 — DR. BRIAN BUZZELLA PH.D.
Practice Location Address:

4025 CAMINO DEL RIO S STE 300
SAN DIEGO, CA
92108-4108

Practice Phone: 619-542-7745
Practice Fax:

1376897595 — MS. KATHRYN ISABEL CONKLIN M.A., MFT
Practice Location Address:

4025 CAMINO DEL RIO S STE 318
SAN DIEGO, CA
92108-4108

Practice Phone: 619-518-1784
Practice Fax:

Directions to “ CAMILLE MARIE ROSE 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.