PAMELA KATE KENNEDY (NPI# 1093143158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093143158 |
| Entity Type | Individual |
| Full Name | PAMELA KATE KENNEDY |
| Credential | MSW, LCSW |
| Practice Address |
1114 Lane 12 Basin WY 82410 |
| Mailing Address |
Po Box 997 Basin WY 82410-0997 |
| Practice Telephone | 3075682020 |
| Practice Fax Number | 3075682503 |
| Mailing Telephone | 3075682020 |
| Mailing Fax Number | 3075682503 |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2019-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1175 | WY | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
PCSW 718 | WY | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
PCSW-566 | WY | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245296318 | Pamela Schofield Kennedy | Dermatology | 1355 Thomaswood Dr, Tallahassee, FL 32308-7915 | 2006-04-26 |
| 1386073781 | Pamela Kennedy | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2013-11-06 |
| 1245577204 | Pamela Bonner Kennedy | Pharmacist | 7117 Merrill Rd, Jacksonville, FL 32277-2620 | 2013-01-10 |
| 1497037493 | Pamela W Kennedy | Nurse Practitioner | 3636 High St, Portsmouth, VA 23707-3236 | 2011-09-15 |
| 1982806162 | Pamela Ann Kennedy | Nurse Practitioner | 7305 N. Military Trail, Education Service, West Palm Beach, FL 33410 | 2007-06-01 |
| 1073650016 | Pamela Kennedy | Dental Hygienist | 752 E Main St, 3rd Floor Dental Hygiene, Bridgeport, CT 06608-2335 | 2007-01-31 |
| 1851366371 | Pamela Ann Kennedy | Dietitian, Registered | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2006-02-19 |
| 1629061627 | Pamela Kennedy | Nurse Anesthetist, Certified Registered | 2000 Joseph E. Sanker Boulevard, The Urology Center, Cincinnati, OH 45212 | 2005-08-24 |
| Street Address |
1114 LANE 12 |
| City | BASIN |
| State | WY |
| Zip Code | 82410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123206 | Kara Magid | Occupational Therapist | 406 South 4th Street, Basin, WY 82410 | 2020-04-16 |
| 1154853398 | Marietta Camra Miller | Licensed Practical Nurse | 617 Zane Ave, Basin, WY 82410 | 2017-03-28 |
| 1548656242 | White Line LLC | Ambulance | 419 W C Street, Basin, WY 82410 | 2015-04-09 |
| 1043644545 | Big Horn Basin Association Adolescent Programs | Foster Care Agency | 967 Hwy 20 South, Basin, WY 82410 | 2013-09-03 |
| 1417399775 | Whitney Jay Neves | Physical Therapist | 406 S. 4th St, Basin, WY 82410 | 2013-07-26 |
| 1154571271 | Rosemary Newton | Registered Nurse | 453 North 5th Street, Basin, WY 82410 | 2008-09-25 |
| 1508014382 | Debbie Lee Crist | Speech-Language Pathologist | 115 South 4th St, Basin, WY 82410 | 2008-09-04 |
| 1679739213 | Deborah Ann Franko Lane | Registered Nurse | 116 South 3rd St., Basin, WY 82410 | 2008-08-04 |
| 1528242674 | Christine Mae Smith | Registered Nurse | 205 South 8th Street, Basin, WY 82410 | 2007-12-26 |
| 1225256027 | Ralph Henry Louis Jr. | Psychologist | 116 South 3rd Street, Basin, WY 82410 | 2007-04-24 |
| Find all providers in zip 82410 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594492 | Tiffany Palmer | Social Worker | 1010 E 1st St Ste A, Casper, WY 82601-2753 | 2020-10-06 |
| 1164034492 | Skyline Mental Health Services LLC | Social Worker | 1471 Dewar Dr Ste 232, Rock Springs, WY 82901-5885 | 2020-08-18 |
| 1619506797 | Olivia Gerrish | Social Worker | 1642 Palmer Dr Apt 11, Laramie, WY 82070-8213 | 2020-04-02 |
| 1982244851 | Edwin James Heimer | Social Worker | 11 Bartlett Ln, Cody, WY 82414-8861 | 2020-01-08 |
| 1154961019 | Marilyn Sue Dymond Wagner | Social Worker | 777 Overland Trl Ste 10582601, Casper, WY 82601-1318 | 2020-01-08 |
| 1679118160 | Stephan Badgett | Social Worker | 383 N Main St, Thayne, WY 83127 | 2019-11-08 |
| 1609410547 | Kirbie L Brown | Social Worker | 6610 Wilderness Trl, Cheyenne, WY 82001-6180 | 2019-11-04 |
| 1609417088 | Valley Counseling & Coaching LLC | Social Worker | 109 S. Main St. Suite D, Lyman, WY 82937 | 2019-10-07 |
| 1114576618 | Bonnie Jean Hede | Social Worker | 1396 Mortimore Ln, Lander, WY 82520-9770 | 2019-09-06 |
| 1427600402 | Kelsi Marie Sluyter | Social Worker | 24 Country Club Ln, Pinedale, WY 82941 | 2019-07-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.