Pamela A Braley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC2163 Issued in ME

Practice address

674 Mount Hope Ave
Bangor, ME 04401-5656

Phone

(207) 947-1398

NPI assigned

May 16, 2007

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charlotte White Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dover Foxcroft, ME
  • NPI 1649337197
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881800514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044260380",
            "telephone_number": "207-564-2464",
            "fax_number": "207-564-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 MOUNT HOPE AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015656",
            "telephone_number": "207-947-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRALEY",
        "first_name": "PAMELA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC2163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Bradford, OTR/L
• James Allen Bradney III, LMSW-CC, LADC
• Randon E. Bragdon, D.M.D.
• Franklin E Bragg, MD
• Sarah Bragg, OTR/L
• Taylor Braley
• Victoria Cori Braley
• David A Branch, M.D.
• Branches, LLC
• Brandon Jolley DDS PA LLC

• All providers in Bangor, ME
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.