Active NPIIndividual provider

Ms. Pamela M Waggoner, LICSW LADCI

Social Worker, Clinical in Georgetown, Massachusetts

NPI Number1336255207
Practice location
65 Central St., Georgetown, MA 01833
Fax
—
Last updated
July 8, 2007

Pamela M Waggoner is a Social Worker, Clinical based in Georgetown, MA. Pamela M Waggoner practices in Georgetown, MA and has the professional credentials of LICSW LADCI. The NPI Number for Pamela M Waggoner is 1336255207 and holds a License No. 105036 (MA). The current practice location address for Pamela M Waggoner is 65 Central St., Georgetown, MA 01833 and can be reached out via phone at 978-352-3380.

Provider Profile Details

NPI Number
1336255207
Provider Name
Pamela M Waggoner
Credential
LICSW LADCI
Provider Entity Type
Individual
Gender
Female
Address
65 Central St., Georgetown, MA 01833
Phone Number
978-352-3380
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 22, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 Central St.
Georgetown, MA 01833
Zip
01833
Phone Number
978-352-3380
Georgetown, MA 01833Get directions →

Provider Business Mailing Address Details

Address
65 Central St.
Georgetown, MA 01833
City
Georgetown
State
MA
Zip
01833
Phone Number
978-352-3380

License Information

License Number
105036
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Pamela M Waggoner, LICSW LADCI?

The NPI number of Ms. Pamela M Waggoner, LICSW LADCI is 1336255207. It was assigned on August 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Pamela M Waggoner, LICSW LADCI?

Ms. Pamela M Waggoner, LICSW LADCI is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 105036.

Where does Ms. Pamela M Waggoner, LICSW LADCI practice?

The practice location is 65 Central St., Georgetown, MA 01833. The office can be reached at 978-352-3380 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336255207 directly on the NPPES registry website.

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