Pamela Anderson LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

00000661 Issued in CO

Legal business name

PAMELA ANDERSON LCSW LLC

Practice address

2501 Blichman Ave Ste 117
Grand Junction, CO 81505-1031

Phone

(970) 644-2950

NPI assigned

May 27, 2018

Organization subpart

No

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

Authorized official

Name

Melenie Snyder

Title

Billing Agent

Phone

(970) 628-4562

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

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

• Pamela Anderson, LCSW

  • Clinical Social Worker
  • Grand Junction, CO
  • NPI 1679075725
  Medicare reassignment NPD

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

{
    "created_epoch": "1527379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1396236246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 ROSEMARY WAY",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815014452",
            "telephone_number": "970-644-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 BLICHMAN AVE STE 117",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051031",
            "telephone_number": "970-644-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA ANDERSON LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-27",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "MELENIE",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "970-628-4562"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "00000661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.