Doctor Name: | MR. KEVIN SCOTT CAMERON |
NPI Number: | 1326281536 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LISW |
License Number: | LV50079894 |
Business Practice Address: | 101 Edge Knol Ln Queenstown, MD - 216581341 |
Business Phone Number: | 5153143400 |
Business Fax Number: | |
Mailing Address: | 101 Edge Knol Ln, QUEENSTOWN |
State: | MD |
Postal Code: | 216581341 |
Phone Number: | 5153143400 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2009 |
NPI Last Update Date: | 12/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LV50079894 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |