Smith, Pamela L.

Smith, Pamela L. is an individual health care provider with primary practice located at 4300 Sw 13Th St , Gainesville FL 32608-4006. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Smith, Pamela L. can be contacted via phone (352) 374-5600.

Contact Information

Primary practice address
4300 Sw 13Th St Gainesville FL 32608-4006
Phone: (352) 374-5600
Fax: (352) 374-5608
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW8256 Florida

Profile Details

NPI number 1508994039
LBN Legal business name Smith, Pamela L.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Aug 27th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508994039 NPPES
Florida MEDICAID 690531500

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