Provider Demographics
NPI:1538955646
Name:CAMACHO, MEAGHAN ELISE
Entity type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:ELISE
Last Name:CAMACHO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4159 SW 85TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-4105
Mailing Address - Country:US
Mailing Address - Phone:305-450-2827
Mailing Address - Fax:
Practice Address - Street 1:4159 SW 85TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-4105
Practice Address - Country:US
Practice Address - Phone:305-450-2827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker