Provider Demographics
NPI:1407674393
Name:CAMINITI, EMERLY (LCSW)
Entity type:Individual
Prefix:
First Name:EMERLY
Middle Name:
Last Name:CAMINITI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47193 SANDIA CREEK DR
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-4108
Mailing Address - Country:US
Mailing Address - Phone:323-533-1859
Mailing Address - Fax:
Practice Address - Street 1:47193 SANDIA CREEK DR
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-4108
Practice Address - Country:US
Practice Address - Phone:323-533-1859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA913431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty