Individual provider Active NPI

Pamela Eastwood McKeever, LCSW

  • Clinical Social Worker
  • Laguna Beach, CA
National Provider Identifier
1427565852
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW8995 Issued in CA
Practice address
30802 Coast Hwy SPC M3
Laguna Beach, CA 92651-4223
Phone
(714) 623-2726
NPI assigned
Jan 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW8995 CA Primary

Addresses

Primary practice location

30802 Coast Hwy SPC M3
Laguna Beach, CA 92651-4223

Mailing address

30802 Coast Hwy SPC M3
Laguna Beach, CA 92651-4223
Phone (714) 623-2726

Other names 1

  • Pamela L Eastwood Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW8995CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1427565852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30802 COAST HWY SPC M3",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926514223",
            "telephone_number": "714-623-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30802 COAST HWY SPC M3",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926514223",
            "telephone_number": "714-623-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEEVER",
        "first_name": "PAMELA",
        "middle_name": "EASTWOOD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW8995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "EASTWOOD",
            "middle_name": "L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.