Pamela Carr, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10798 Issued in FL

Practice address

2510 N 12TH Ave
Pensacola, FL 32503-4604

Phone

(850) 471-0508

Fax

(850) 471-0510

NPI assigned

Apr 19, 2012

Last updated

Mar 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584144000000",
    "number": "1104183813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 W JACKSON ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325057552",
            "telephone_number": "850-436-4630",
            "fax_number": "850-436-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 N 12TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034604",
            "telephone_number": "850-471-0508",
            "fax_number": "850-471-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "PAMELA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2020-03-14",
        "certification_date": "2020-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR FL",
            "identifier": "HM347Y",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004948500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Kaitlyn Carr, APRN
• Debra Morgan Carr, ARNP
• Kayla Marie Carr, PHARMD
• Margaret Eula Thompson Carr, LMHC
• Melissa Carr
• Charles Kenji Carragher, PA
• Jennifer L Carrancejie
• Gabriela Carrara, MD
• Devin Casey Carrillo, DC
• Cynthia E Carroll-Holoway, ARNP

• Clinical Social Worker in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.