MEDICARE: MS. PAMELA KEAR LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW-20255	AZ
2	171M00000X	Case Manager/Care Coordinator	I-4202	NM
3	1041C0700X	Clinical Social Worker	C-4202	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275651671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PAMELA KEAR LCSW

Provider Business Mailing Address
First Line	:	8816 YANKEE DR NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-5159
Country	:	US
Telephone Number	:	505-264-1401
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 WASHINGTON AVE STE 201-220
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87501-2073
Country	:	US
Telephone Number	:	866-949-0108
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	04/21/2022

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