Pamela J Becker, LICSW
Individual provider Active NPI Clinical Social Worker · Oakdale, MN
NPI 1366523359 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366523359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 16620 (MN)
- Practice address
- 7066 Stillwater Blvd N
Oakdale, MN 55128-3937 - Phone
- (651) 777-5222
- Fax
- (651) 251-5111
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16620 | MN | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16620 | MN | Yes |
Addresses
Primary practice location
7066 Stillwater Blvd N
Oakdale, MN 55128-3937
Mailing address
7066 Stillwater Blvd N
Oakdale, MN 55128-3937
Phone (651) 777-5222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73416 | Other | MN | HP |
| 13N22BE | Other | MN | BCBS |
Other providers in Oakdale, MN
- Daniel Thomas Barrett
- Hamza Mohamed Bashir
- Heather Anne Bateman
- Alisha Bauman
- Clare Beardsley
- Melissa Bedor
- Therese Mary Behnke
- Tricia L Bender
- Adam Bennett
- Melissa Anne Bennett
All providers in Oakdale, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.