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Annabel Camacho

Social Worker β€’ Clovis, CA

Active NPI 1699172668 Individual Practitioner Female Practitioner
Practice location in NPPES

784 W Holland Ave
Clovis, CA 936124800

Call 5595381230 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

784 W Holland Ave

Clovis, CA 936124800

Telephone 5595381230
Organization at the Same NPPES Address or Phone
Exodus Recovery, Inc. Facility NPI 1144950411

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 6 distinct additional practice-address records in Fresno, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Clovis and California

12 active clinicians are listed under Social Worker with a practice address in Clovis, CA (10,337 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clovis

0% of these 12 clinicians have the CMS telehealth indicator.

0% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-06
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES CA 105416

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES CA 105416
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Secondary Practice Locations

532 S Trinity St

Fresno, CA 937061874

Phone: 5595381230

205 N Blackstone Ave

Fresno, CA 937011939

Phone: 5595381230

1555 Santa Clara St

Fresno, CA 93706

Phone: 5595381230

4041 Plaza Dr W

Fresno, CA 937021342

Phone: 5595381230

1828 Broadway St

Fresno, CA 937211008

Phone: 5595381230

3039 N Blackstone Ave

Fresno, CA 937031015

Phone: 5595381230

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location June 06, 2023

Registered at 784 W HOLLAND AVE, CLOVIS, CA 936124800 (Tel: 5595381230)

πŸ“
Updated Business Mailing Address June 06, 2023

Registered at 3520 E SHIELDS AVE STE 102, FRESNO, CA 937266923 (Tel: 5595381230)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2021

Counselor

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2019

Counselor

βœ…
NPI Profile Active August 11, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location August 11, 2017

Registered at 4440 N 1ST ST, FRESNO, CA 937262304 (Tel: 5592251102)

πŸ“
Updated Business Mailing Address August 11, 2017

Registered at 4440 N 1ST ST, FRESNO, CA 937262304 (Tel: 5592251102)

πŸ‘€
Provider Name / Credentials Updated August 11, 2017

Recorded as ANNABEL CAMACHO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2017

Case Manager/Care Coordinator

βœ…
NPI Profile Active November 19, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 19, 2014

Registered at 4440 N 1ST ST, FRESNO, CA 937262304 (Tel: 5592251102)

πŸ“
Business Mailing Address (Initial Record) November 19, 2014

Registered at 4440 N 1ST ST, FRESNO, CA 937262304 (Tel: 5592251102)

πŸ‘€
Provider Name / Credentials (Initial Record) November 19, 2014

Recorded as ANNABEL DELGADILLO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2014

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration November 19, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699172668
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2014
Last Update: June 06, 2023
Sole Proprietor: Yes

Mailing Address

3520 E Shields Ave Ste 102

Fresno, CA 937266923

Phone: 5595381230

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.