Pamela S Wood LCSW PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CSW003677 Issued in GA

Legal business name

PAMELA S WOOD LCSW PC

Practice address

2301 Parkwood Dr
Brunswick, GA 31520-4720

Phone

(912) 262-1112

Fax

(912) 289-2053

NPI assigned

Jul 26, 2011

Organization subpart

No

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

Authorized official

Name

Pamela Sunbury WoodNPI 1679512438

Title

Owner

Phone

(912) 262-1112

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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

• Pamela S. Wood, LMSW

  • Social Worker
  • Darien, GA
  • NPI 1679512438

  GA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1598043580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 PARKWOOD DRIVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "31520",
            "telephone_number": "912-262-1112",
            "fax_number": "912-289-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 PARKWOOD DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204720",
            "telephone_number": "912-262-1112",
            "fax_number": "912-289-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA S WOOD LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "SUNBURY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-262-1112"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CSW003677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Brunswick, GA
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.