Pamela Diane Atteberry, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

00006190 Issued in WA

Practice address

2718 NE 54TH St
Seattle, WA 98105-3146

Phone

(206) 321-8829

NPI assigned

Jul 2, 2019

Last updated

Jul 2, 2019By 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 1

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1245892900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 NE 54TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053146",
            "telephone_number": "206-321-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 NE 54TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053146",
            "telephone_number": "206-321-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTEBERRY",
        "first_name": "PAMELA",
        "middle_name": "DIANE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "00006190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CREDENTIAL NUMBER",
            "identifier": "00006190",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atossa Genetics Inc (National Reference Laboratory for Breast Health (Subsidiary))
• Isha Atre, MD
• Osama Abuzaid Attaelmanan, RPH
• Azad Attar Sharifi
• Kasra Attaran Rezaei, M.D.
• Constance Atteridge
• Neil Andrew Attfield, BA, RC
• Engi Farouk Attia, MD
• Moshe Attia, MD
• Aubrey Dustin Leviticus Attucks

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.