Pamela Haefner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904002760 Issued in VA

Practice address

3 Royal St SE
Leesburg, VA 20175-3015

Phone

(703) 777-1122

NPI assigned

Jun 25, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1124433487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ROYAL ST SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753015",
            "telephone_number": "703-777-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ROYAL ST SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753015",
            "telephone_number": "703-777-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAEFNER",
        "first_name": "PAMELA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Van Trong Ha, MD
• Roshontia Haas, MSS, MLSP, LCSW-C
• Virginia Marie Hackenberg, MD
• Constance Ross Hadady
• Ziyad Khalil Haddad, MD
• Paul Thomas Haefner, PH.D.
• Danielle Marie Hafer Baker
• Vickie Jean Hagan, M.A., LPC, CSOPT
• Kim P Hager, L.P.C.
• Nazanin Hagjoo, NP

• Clinical Social Worker in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.