NPIMap

Organization Active NPI

Pamela Goodfriend, LCSW, Cac III, LLC

  • Clinical Social Worker
  • Arvada, CO
National Provider Identifier
1265625800
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
575 Issued in CO
Legal business name
PAMELA GOODFRIEND, LCSW, CAC III, LLC
Practice address
6505 W. 84TH Way
Arvada, CO 80003
Phone
(303) 269-1191
NPI assigned
Aug 27, 2007
Last updated
Aug 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Pamela Goodfriend
Title
Licensed Clinical Social Worker
Phone
(303) 269-1191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 575 CO Primary

Addresses

Primary practice location

6505 W. 84TH Way
Arvada, CO 80003

Mailing address

6505 W. 84TH Way
Arvada, CO 80003

National Provider Directory

National Provider Directory
Tax ID family
Pamela Cooper LCSW Cac III LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1265625800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 W. 84TH WAY",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 W. 84TH WAY",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80003",
            "telephone_number": "303-269-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA GOODFRIEND, LCSW, CAC III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "GOODFRIEND",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "303-269-1191"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.