Pamela McBride Land, Lisw, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0001756 Issued in OH

Legal business name

PAMELA MCBRIDE LAND, LISW, LLC

Practice address

6449 Wilson Mills Rd
Mayfield Village, OH 44143-3438

Phone

(440) 442-8800

Fax

(440) 442-8804

NPI assigned

Aug 1, 2011

Organization subpart

No

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

Authorized official

Name

Pamela Land, LISW

Title

Ceo

Phone

(440) 289-6524

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1861770497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6449 WILSON MILLS RD",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441433438",
            "telephone_number": "440-442-8800",
            "fax_number": "440-442-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6449 WILSON MILLS RD",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441433438",
            "telephone_number": "440-442-8800",
            "fax_number": "440-442-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA MCBRIDE LAND, LISW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "LAND",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-289-6524",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0001756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Mayfield Village, OH
• Providers in Mayfield Village, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.