MARIA MAGDALENA CAMACHO (LCSW) – Social Worker, NPI 1881993012

MARIA MAGDALENA CAMACHO (LCSW) is a healthcare provider. based in Shelley, Idaho. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 8851793 (ID). The NPI Number for MARIA MAGDALENA CAMACHO (LCSW) is 1881993012

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MARIA MAGDALENA CAMACHO (LCSW)
NPI
1881993012
Phone
(702) 823-6105
Address
516 S PARK AVE
Enumeration Date
28 March 2011
Last Update Date
18 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085236727
Graduation Year
2009 (17 years ago)
PAC ID
8022525773
Group Practice PAC ID
8628391117
Professional Enrollment ID
I20250728002244
Address ID
ID834045919ID115XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Digital endpointsOther names

633 CLINICAL SOCIAL WORKER in ID

Provider Addresses for MARIA MAGDALENA CAMACHO (LCSW)

  • 516 S PARK AVE

    SHELLEY, ID 832741434

    Phone: (702) 823-6105

    Type: Location

  • 552 ARCHES ST

    SHELLEY, ID 832741035

    Phone: (702) 823-6105

    Type: Mailing

  • 3305 E ROME BLVD

    BLDG 26 APT 1134

    NORTH LAS VEGAS, NV 890861309

    Phone: (208) 403-1560

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250728002244IClinical Social WorkerIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83274)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628391117View full group profile
NameSpecialtyState
Mental Health CounselorID
Mental Health CounselorID
-ID
-ID
Clinical Social WorkerTX

Reviews

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Frequently asked questions

What federal number belongs to MARIA MAGDALENA CAMACHO (LCSW)?
The federal identifier for MARIA MAGDALENA CAMACHO (LCSW) is NPI 1881993012.
Is MARIA MAGDALENA CAMACHO (LCSW)'s NPI currently valid?
The extract we use shows MARIA MAGDALENA CAMACHO (LCSW) as active.
Does MARIA MAGDALENA CAMACHO (LCSW) list a primary specialty?
If you are matching referrals, note Social Worker for MARIA MAGDALENA CAMACHO (LCSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for MARIA MAGDALENA CAMACHO (LCSW)?
The page summarizes Shelley, Idaho for MARIA MAGDALENA CAMACHO (LCSW); expand the address list for detail.
How can I contact MARIA MAGDALENA CAMACHO (LCSW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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