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Contact Information

BRENDA GONZALEZ CAMACHO, LCSW
22099 ELMIRA BLVD
PORT CHARLOTTE, FL33952-7018
 Phone: 941-613-1356
 Fax: 941-613-1591
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Technician, Pathology

246R00000X
Indicates primary specialty

NPI Profile & details for BRENDA GONZALEZ CAMACHO · (Female)

NPI # 1134399942
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 03/07/2008
Last updated 09/25/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # SW8837
  • FL License # TN 36567
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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