1477726149 NPI number — MRS. PAMELA MORROW LCSW, CAC III

Table of content: MRS. PAMELA MORROW LCSW, CAC III (NPI 1477726149)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477726149 NPI number — MRS. PAMELA MORROW LCSW, CAC III

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORROW
Provider First Name:
PAMELA
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW, CAC III
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SARTORE
Provider Other First Name:
PAMELA
Provider Other Middle Name:
MORROW
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1477726149
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2001 E EASTER AVE
Provider Second Line Business Mailing Address:
STE. 204
Provider Business Mailing Address City Name:
CENTENNIAL
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80122-1600
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-301-2286
Provider Business Mailing Address Fax Number:
303-794-5585

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2001 E EASTER AVE
Provider Second Line Business Practice Location Address:
STE. 204
Provider Business Practice Location Address City Name:
CENTENNIAL
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80122-1600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-301-2286
Provider Business Practice Location Address Fax Number:
303-794-5585
Provider Enumeration Date:
04/02/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  991211 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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