Organization Active NPI

Pamela Pettigrew, LCSW, LLC

  • School Social Worker
  • Oklahoma City, OK
National Provider Identifier
1972744605
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
1827 Issued in OK
Legal business name
PAMELA PETTIGREW, LCSW, LLC
Practice address
10344 Greenbriar Pkwy
Oklahoma City, OK 73159-7643
Phone
(405) 237-3311
Fax
(405) 237-3313
NPI assigned
Mar 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Pamela R Pettigrew, LCSW
Title
Ceo
Phone
(405) 237-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041S0200X 1827 OK Primary

Addresses

Primary practice location

10344 Greenbriar Pkwy
Oklahoma City, OK 73159-7643

Mailing address

10344 Greenbriar Pkwy
Oklahoma City, OK 73159-7643
Phone (405) 237-3311

National Provider Directory

National Provider Directory

Locations

10344 Greenbriar Pkwy
Oklahoma City, OK 73159
Phone (405) 691-6567

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1972744605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10344 GREENBRIAR PKWY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597643",
            "telephone_number": "405-237-3311",
            "fax_number": "405-237-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10344 GREENBRIAR PKWY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597643",
            "telephone_number": "405-237-3311",
            "fax_number": "405-237-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA PETTIGREW, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "PETTIGREW",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-237-3311",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, School",
            "state": "OK",
            "license": "1827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.