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Contact Information

CAMELOT COMMUNITY CARE, INC.
4910 CREEKSIDE DR STE D
CLEARWATER, FL33760-4034
 Phone: 727-593-0003
 Fax: 727-595-0735
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Case Management

251B00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Foster Care Agency

253J00000X
 

Mental Health

101YM0800X
 

Professional

101YP2500X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for CAMELOT COMMUNITY CARE, INC.

NPI Number 1679581250
LBN Legal business name CAMELOT COMMUNITY CARE, INC.
Authorized official JANA ALLEN - (DIRECTOR OF AR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/03/2006
Last updated 03/03/2022 - About 4 years ago
Identifiers
OH Medicaid 2871183
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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