Pamela Sue Bagwell
Individual provider Active NPI Social Worker · Jacksonville, AR
NPI 1053944496 · NPPES record last updated Feb 13, 2020
Key facts
- NPI
- 1053944496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 2126 N 1St St Ste F
Jacksonville, AR 72076-2868 - Phone
- (501) 982-5000
- Fax
- (501) 982-5007
- NPI assigned
- Feb 13, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 10TH District Substance Abuse Treatment Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
2126 N 1St St Ste F
Jacksonville, AR 72076-2868
Mailing address
1815 Pleasant Grove Rd
Jonesboro, AR 72405-7870
Phone (870) 933-6886
Other providers in Jacksonville, AR
- Arkansas Renal Systems, Inc.
- Candace Suzanne Ashley
- Aspire Psychiatric Services, LLC
- Astounding Care Services
- Axpm- Jacksonville Dental PLLC
- Mary Bahan
- Coty Camille Bahler
- Amber Laverne Baker
- Brandi Nicole Baker
- Vicky Baker
All providers in Jacksonville, AR · Social Worker in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.