MEDICARE: MRS. PAMELA J ALDERMAN MSW, 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	20001017776	MO

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	:	1770604944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PAMELA J ALDERMAN MSW, LCSW

Provider Business Mailing Address
First Line	:	1911 JULES ST
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64501-2457
Country	:	US
Telephone Number	:	816-261-1866
Fax Number	:

Provider Business Practice Location Address
First Line	:	4603 S 14TH ST
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64504-1244
Country	:	US
Telephone Number	:	816-261-1866
Fax Number	:

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	02/14/2023

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