Pamela S. Brown, Msw, Lcsw, Inc | |
4500 Simsbury Rd B Charlotte NC 28226-8226 | |
(980) 875-9380 | |
Not Available |
Full Name | Pamela S. Brown, Msw, Lcsw, Inc |
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Speciality | Social Worker |
Location | 4500 Simsbury Rd, Charlotte, North Carolina |
Authorized Official Name and Position | Pamela S. Brown (PRESIDENT) |
Authorized Official Contact | 9808759380 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pamela S. Brown, Msw, Lcsw, Inc 7804 Fairview Rd. C Charlotte NC 28226-8226 Ph: (980) 875-9380 | Pamela S. Brown, Msw, Lcsw, Inc 4500 Simsbury Rd B Charlotte NC 28226-8226 Ph: (980) 875-9380 |
NPI Number | 1053621888 |
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Provider Enumeration Date | 10/14/2010 |
Last Update Date | 10/14/2010 |
Medicare PECOS PAC ID | 8527243526 |
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Medicare Enrollment ID | O20110505000614 |
Identifier | Type | State | Issuer |
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1053621888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | COO2433 (North Carolina) | Primary |
Provider Name | Pamela Stroupe Brown |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255492005 PECOS PAC ID: 4587665252 Enrollment ID: I20110505000657 |
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