Provider Demographics
NPI:1578312849
Name:HUNTER, CAMILLE LANELLE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CAMILLE
Middle Name:LANELLE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:CAMILLE
Other - Middle Name:LANELLE
Other - Last Name:MCCASKILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3160 KNOX MCRAE DR
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32780-4551
Mailing Address - Country:US
Mailing Address - Phone:321-291-4225
Mailing Address - Fax:321-268-0007
Practice Address - Street 1:3160 KNOX MCRAE DR
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32780-4551
Practice Address - Country:US
Practice Address - Phone:321-291-4225
Practice Address - Fax:321-268-0007
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-17
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW-169141041C0700X
FLSW230881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical