Healthcare Provider Details

I. General information

NPI: 1285762112
Provider Name (Legal Business Name): PAMELA MONACO TROMPETER L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 12/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1137 HARRISON AVE STE 5
PANAMA CITY FL
32401-2468
US

IV. Provider business mailing address

1137 HARRISON AVE STE 5
PANAMA CITY FL
32401-2468
US

V. Phone/Fax

Practice location:
  • Phone: 850-381-1439
  • Fax: 850-215-8551
Mailing address:
  • Phone: 850-381-1439
  • Fax: 850-215-8551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW7843
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: