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CAMILLE MANSOUR
NPI 1740948751
Social Worker - Clinical in San Diego, CA

Active since December 07, 2021Opted out of Medicare · through Sep 26, 2026
6540 LUSK BLVD STE C200, SAN DIEGO, CA 92121(619) 330-9500 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Camille Mansour NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMILLE MANSOUR (NPI 1740948751) is an individual clinical provider in San Diego, California and active in the NPI registry since December 2021. She has opted out of Medicare through September 26, 2026.

NPPES Registry Identity

NPI1740948751
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCAMILLE MANSOUR
Location Address6540 LUSK BLVD STE C200San Diego, CA 92121-5792
Mailing Address11208 Eagles Creek CtSan Diego, CA 92128-4084 · (858) 945-8782
Phone(619) 330-9500
Sole ProprietorNo
Enumeration DateDecember 7, 2021
NPPES CertifiedDecember 7, 2021
✔ NPI 1740948751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6540 LUSK BLVD STE C200, San Diego, CA 92121
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Camille Mansour has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 26, 2024 through September 26, 2026.

Opt-Out Effective DateSeptember 26, 2024
Opt-Out In Effect ThroughSeptember 26, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA ZUROWSKI LMFT
Marriage & Family Therapist
6540 LUSK BLVD STE C200
SAN DIEGO, CA 92121
San Diego County (619) 330-9500
MILLICENT SYKES MA, APCC
Counselor (Mental Health)
6540 LUSK BLVD STE C200
SAN DIEGO, CA 92121
San Diego County (619) 330-9500
ASHLEY ELIZABETH FECTEAU LCSW
Social Worker (Clinical)
6540 LUSK BLVD STE C200
SAN DIEGO, CA 92121
San Diego County (619) 535-8791

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Camille Mansour's NPI number?

The NPI number for Camille Mansour is 1740948751. It was assigned to this individual provider in the NPPES registry on December 7, 2021.

Where is Camille Mansour located?

Camille Mansour practices at 6540 Lusk Blvd Ste C200, San Diego, CA 92121. The listed phone number is (619) 330-9500.

What is Camille Mansour's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Camille Mansour enrolled in Medicare?

No. Camille Mansour has opted out of Medicare through September 26, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Camille Mansour was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.