Healthcare Provider Details

I. General information

NPI: 1093979411
Provider Name (Legal Business Name): PAMELA ANNE WILLIAMS MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2008
Last Update Date: 03/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 NORTH SECOND ST
NEW BEDFORD MA
02740
US

IV. Provider business mailing address

50 NORTH SECOND ST
NEW BEDFORD MA
02740
US

V. Phone/Fax

Practice location:
  • Phone: 508-993-1377
  • Fax: 508-999-7795
Mailing address:
  • Phone: 508-993-1377
  • Fax: 508-999-7795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number115986
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: