Pamela H Hartvig, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS4778 Issued in CA

Practice address

3000 T St Ste 105
Sacramento, CA 95816-7052

Phone

(916) 801-5805

Fax

(888) 342-0714

NPI assigned

Dec 27, 2007

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 names 1

• Mrs. Pamela H Range Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1346424355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 T ST",
            "address_2": "STE,105",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958167052",
            "telephone_number": "916-801-5805",
            "fax_number": "888-342-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 T ST STE 105",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958167052",
            "telephone_number": "916-801-5805",
            "fax_number": "888-342-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTVIG",
        "first_name": "PAMELA",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS4778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "RANGE",
            "middle_name": "H",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Hartmann, MFTI, CCHT
• Mutsumi Fukuyama Hartmann
• John Wayne Hartmire
• Monique Harts- Washington
• Allison Elise Hartsell
• Sharon Renee Hartwell
• Madison Harty
• Patrick Anthony Harty, MD
• Deanikah Antrell Harvey
• Dominique Monay Harvey

• Clinical Social Worker in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.