NPI 1346359932 · live from the CMS NPI Registry
Pamela Irene Ballew, LCSW
Social Worker, Clinical in Fayetteville, AR. National Provider Identifier 1346359932, active.
NPI record
| NPI | 1346359932 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1100 N College Ave, Fayetteville, AR 72703 |
| Practice phone | 479-587-5805 |
| Mailing address | 118 Briarmeadow St., Farmington, AR 72730 |
| Enumerated | August 29, 2006 |
| Last updated | April 29, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 2230-C (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.