Provider Demographics
NPI:1487119368
Name:OCZKOWSKI, CAMREY K (LGPC, ATR)
Entity type:Individual
Prefix:
First Name:CAMREY
Middle Name:K
Last Name:OCZKOWSKI
Suffix:
Gender:F
Credentials:LGPC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 HARTNESS DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-5489
Mailing Address - Country:US
Mailing Address - Phone:864-386-9318
Mailing Address - Fax:202-659-2291
Practice Address - Street 1:3919 BLENHEIM BLVD STE 83B
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2430
Practice Address - Country:US
Practice Address - Phone:703-539-2392
Practice Address - Fax:202-659-2291
Is Sole Proprietor?:No
Enumeration Date:2019-02-05
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC18-070221700000X
VA0701012929101YP2500X
DCPRC15415101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist