Active NPI
Pamela Rose Blunt, LCSW
- Clinical Social Worker
- Bisbee, AZ
National Provider Identifier
1831214493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-4071
- Practice address
- 43 Howell Avenue
Bisbee, AZ 85603 - Phone
- (520) 432-3557
- Fax
- (866) 527-7033
- NPI assigned
- Mar 20, 2007
- Last updated
- Feb 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-4071 | AZ | Primary |
Addresses
Primary practice location
43 Howell Avenue
Bisbee, AZ 85603
Mailing address
PO Box 768
Bisbee, AZ 85603-0768
Phone (520) 432-3557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 649080 | Medicaid | AZ |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-4071 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202083200000",
"number": "1831214493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 768",
"city": "BISBEE",
"state": "AZ",
"postal_code": "856030768",
"telephone_number": "520-432-3557",
"fax_number": "866-527-7033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 HOWELL AVENUE",
"city": "BISBEE",
"state": "AZ",
"postal_code": "85603",
"telephone_number": "520-432-3557",
"fax_number": "866-527-7033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUNT",
"first_name": "PAMELA",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2008-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-4071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "649080",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bisbee, AZ
- Bisbee Hospital Association (Copper Queen Medical Associates)
- Bisbee Hospital Association
- Bisbee Hospital Association (Copper Queen Medical Associates Bisbee)
- Bisbee Hospital Association Dba CQCH
- Bisbee Unified School District
- Boys & Girls Club of Bisbee,Az,Inc
- Brave Path Counseling PLLC
- Julia M Brown, M.D.
- Ernestina S Buck, PHD
- Shadd Nathan Cabalatungan, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.