Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Camille Maria Vaca, LCSW

Individual provider Clinical Social Worker · NPI 1164191896

Mrs. Camille Maria Vaca, LCSW is a Clinical Social Worker in Matthews, North Carolina. Qualified in 1988, 38 years ago. Practices with Eventus Wholehealth PLLC, a 299-clinician group.

Years since qualifying
38
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1032 Forbishire Dr
Matthews, NC 28104-6828
Phone: (704) 651-9663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C002274

Record details

NPI number1164191896
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 7, 2021
Last updated in NPPESFebruary 8, 2022
Certification dateFebruary 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Eventus Wholehealth Pllc — 299 clinicians
Accepts Medicare assignment Not indicated

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