NPI 1538941133 · live from the CMS NPI Registry
Camilla Richelle Averson, MSW
Social Worker, Clinical in South Charleston, WV. National Provider Identifier 1538941133, active.
NPI record
| NPI | 1538941133 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 600 D St Ste 1, South Charleston, WV 25303 |
| Practice phone | 681-833-5400 |
| Mailing address | 407 Beechwood Est, Scott Depot, WV 25560 |
| Enumerated | October 18, 2023 |
| Last updated | June 26, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.