Pamela Davis

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

Q100011008 Issued in DE

Legal business name

PAMELA DAVIS

Practice address

5610 Kirkwood Hwy
Wilmington, DE 19808-5004

Phone

(302) 660-2282

Fax

(302) 660-7042

NPI assigned

Jul 17, 2013

Organization subpart

No

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

Authorized official

Name

Pamela Davis, LCSWNPI 1588990816

Title

Executive Director

Phone

(302) 660-2282

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Davis

  • Addiction (Substance Use Disorder) Counselor
  • Claymont, DE
  • NPI 1588990816
  NPD (past) Authorized official

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1326489451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 SAINT ELIZABETH ST",
            "address_2": "SUITE B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054570",
            "telephone_number": "302-660-2282",
            "fax_number": "302-660-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 KIRKWOOD HWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085004",
            "telephone_number": "302-660-2282",
            "fax_number": "302-660-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA DAVIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "302-660-2282",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DE",
            "license": "Q100011008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221487394",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Palmer
• Joshua Palmer, D.O.
• Kathleen M. Palmer, MD
• Richard Palmer, M.D.
• Susie Palmer, LICENSED MASSAGE THE
• Shannon E. Pan, MD
• Alodeia Neriley Panandigan
• Jinal Jitendrakumar Panchani
• Kaitlin Pancio, PA-C
• Nancy Kate Pancko, D.D.S, M.S

• Community/Behavioral Health Agency in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Community/Behavioral Health Agency in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.