Organization Active NPI

Pamela Little Inc

  • Clinical Social Worker
  • Mason City, IA
National Provider Identifier
1881757953
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00204 Issued in IA
Legal business name
PAMELA LITTLE INC
Practice address
125 4TH St NW
Mason City, IA 50401-3113
Phone
(641) 423-4724
Fax
(641) 423-3955
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Ms. Pamela C Little, LISW
Title
President
Phone
(641) 423-4724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 00204 IA Primary

Addresses

Primary practice location

125 4TH St NW
Mason City, IA 50401-3113

Mailing address

125 4TH St NW
Mason City, IA 50401-3113
Phone (641) 423-4724

Other identifiers 1

IdentifierTypeStateIssuer
51975OtherIAWELLMARK

Other names 1

  • Pamela Carlson Little, LISW Former legal business name

National Provider Directory

National Provider Directory

Locations

125 4th St NW
Mason City, IA 50401
Phone (641) 423-4724

219 N Jackson Ave
Mason City, IA 50401
Phone (641) 423-4724

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1881757953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 4TH ST NW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013113",
            "telephone_number": "641-423-4724",
            "fax_number": "641-423-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 4TH ST NW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013113",
            "telephone_number": "641-423-4724",
            "fax_number": "641-423-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA LITTLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-423-4724",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "00204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "51975",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pamela Carlson Little, LISW",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.