Active NPI
Pamela Ann Marshall, LBSW LPCC
- Social Worker
- Santa Fe, NM
National Provider Identifier
1730242256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LBSWB3277
- Practice address
- 411 St Michaels Dr
Ste 8a
Santa Fe, NM 87505 - Phone
- (505) 989-3333
- Fax
- (505) 984-3003
- NPI assigned
- Dec 18, 2006
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCC1844 | NM | |
| Social Worker | 104100000X | LBSWB3277 | NM | Primary |
Addresses
Primary practice location
411 St Michaels Dr
Ste 8a
Santa Fe, NM 87505
Mailing address
411 St Michaels Dr
Ste 8a
Santa Fe, NM 87505
Phone (505) 989-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z5604 | Medicaid | NM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC1844 | NM | MD | Mental Health Counselor |
| LBSWB3277 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1730242256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 ST MICHAELS DR",
"address_2": "STE 8A",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87505",
"telephone_number": "505-989-3333",
"fax_number": "505-984-3003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 ST MICHAELS DR",
"address_2": "STE 8A",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87505",
"telephone_number": "505-989-3333",
"fax_number": "505-984-3003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "PAMELA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LBSW LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "LPCC1844",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "LBSWB3277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z5604",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.