Pamela E Blair, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL05141400 Issued in NJ

Practice address

509 N Broad St
Social Work Department
Woodbury, NJ 08096-1617

Phone

(856) 845-0100

Fax

(856) 845-6412

NPI assigned

Feb 3, 2014

Last updated

Feb 3, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1861815326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N BROAD ST",
            "address_2": "SOCIAL WORK DEPARTMENT",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961617",
            "telephone_number": "856-845-0100",
            "fax_number": "856-845-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N BROAD ST",
            "address_2": "SOCIAL WORK DEPARTMENT",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961617",
            "telephone_number": "856-845-0100",
            "fax_number": "856-845-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "PAMELA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05141400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BH Brightview Woodbury Lake Opco, LLC (Brightview Woodbury Lake)
• Yostina Montasser Bichay, M.D.
• Susan Ann Bidigare, M.D.
• Nancy A. Bierman-Dear, M.D.
• Francene Black, MD
• BMB Healthcare LLC (BrightStar Care of Gloucester County)
• Rachel Francesca Boccella, DO
• Victoria Boccella
• Anthony W Bonett, MD
• James M. Bonner, D.O.

• Social Worker in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.