Pamela Rose Barckholtz, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801034622 Issued in MI

Practice address

5555 Grass Lake Rd
White Lake, MI 48383-2305

Phone

(248) 563-0930

Fax

(248) 887-1894

NPI assigned

Jul 31, 2011

Last updated

Jul 31, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1312070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312070400000",
    "number": "1992083505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 GRASS LAKE RD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483832305",
            "telephone_number": "248-563-0930",
            "fax_number": "248-887-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GRASS LAKE RD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483832305",
            "telephone_number": "248-563-0930",
            "fax_number": "248-887-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCKHOLTZ",
        "first_name": "PAMELA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-31",
        "last_updated": "2011-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801034622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee M Anderson-Drap, LLMFT
• Kent Anderson
• Mary Frances Antkowiak, DDS, MS
• Athletico LTD (Athletico Physical Therapy)
• Mohammad Bakdaleyeh, PHARMD
• Rukayya A Bearingwala, P.T.
• James Alan Bedor, D.D.S.
• John Walter Beiter, PH.D.
• Carson Birchmeier, DPT
• Gale Bruen

• Clinical Social Worker in White Lake, MI
• Providers in White Lake, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.