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 1:922 24TH ST NW APT 618
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2228
Mailing Address - Country:US
Mailing Address - Phone:864-386-9318
Mailing Address - Fax:202-659-2291
Practice Address - Street 1:2440 M ST NW STE 314
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1449
Practice Address - Country:US
Practice Address - Phone:202-363-3900
Practice Address - Fax:202-659-2291
Is Sole Proprietor?:No
Enumeration Date:2019-02-05
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC18-070221700000X
DCLGPC00393101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist