=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477726149
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PAMELA MORROW LCSW, CAC III
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/02/2008
-----------------------------------------------------
Last Update Date | 04/02/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2001 E EASTER AVE STE. 204
-----------------------------------------------------
City | CENTENNIAL
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80122-1600
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-301-2286
-----------------------------------------------------
Fax | 303-794-5585
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2001 E EASTER AVE STE. 204
-----------------------------------------------------
City | CENTENNIAL
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80122-1600
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-301-2286
-----------------------------------------------------
Fax | 303-794-5585
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 991211
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------