MS. PAMELA DEMOSTHENES RUSTIN (NPI# 1053337592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053337592 |
| Entity Type | Individual |
| Full Name | MS. PAMELA DEMOSTHENES RUSTIN |
| Credential | LCSW, CP CAC II |
| Practice Address |
Wiesbaden Army Substance Abuse Program Unit 29623 Apo AE 09096 |
| Mailing Address |
4300 Sapphire Ct Ste 110 Greenville NC 27834-9079 |
| Practice Telephone | 496117051710 |
| Mailing Telephone | 2528307561 |
| Mailing Fax Number | 2524130932 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2016-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
64648 | SC | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
06223 | SC | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C006055 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SC BOARD OF SOCIAL WORK | 06223 | 01 |
| NC | NC BOARD OF SOCIAL WORK | C006055 | 01 |
| Street Address |
WIESBADEN ARMY SUBSTANCE ABUSE PROGRAM UNIT 29623 |
| City | APO |
| State | AE |
| Zip Code | 09096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306268446 | Puja Gellerman | Occupational Therapist | Building 1206 Clay Kaserne, Apo, AE 09096 | 2014-01-08 |
| 1932460516 | Sarah Elizabeth Wood | Psychologist | Building 1526, Clay Kaserne, Apo, AE 09096 | 2012-05-31 |
| 1477789006 | Thomas Nguyen Damiani | Optometrist | Unit 29623, Box 0059, Wiesbaden Health Clinic (attn: Optometry Clinic), Apo, AE 09096 | 2009-06-10 |
| 1194920165 | Ermc Uniform Business Office | Clinic/Center | Unit 29623, Box 0062, Apo, AE 09096 | 2007-06-19 |
| 1891835211 | Helen Theresa Chatham | Military Health Care Provider | Cmr 467, Box 5647, Apo, AE 09096 | 2007-02-07 |
| 1285780445 | Marianne Jeanne Moran | Psychologist | Waaf Clinic, Unit 29623, Apo, AE 09096 | 2007-01-28 |
| 1386725729 | Emmanuel Asamoah Prah | Physician Assistant | 1st Armored Division Stb, B Company, Cmr467 Box 633, Wiesbaden, APO AE 09096 | 2006-10-18 |
| 1598872145 | Luis A Muniz | Optometrist | Weisbaden Health Clinic, Cmr 430, Apo, AE 09096 | 2006-08-23 |
| 1609989995 | Scott Eliot Sanzotta | Optometrist | Mainz Kastel Optometry Clinic, Unit 29645, Apo, AE 09096 | 2006-08-17 |
| 1033120571 | A. Kay Nippes | Registered Nurse | Wahc, Cmr 467, Box 5891, Wahc, Apo, AE 09096 | 2006-08-10 |
| Find all providers in zip 09096 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194654 | Megan Mccann | Social Worker | Hq Meddacb, Unit 28038 Bld 700, Apo, AE 09112 | 2020-11-06 |
| 1265045330 | Gwendolyn Emmsley-peko | Social Worker | Brian D Allgood Army Community Hospital, Unit #15245, Apo, AP 96271-5245 | 2020-08-28 |
| 1376197673 | Kathryn Gallagher | Social Worker | Minot Air Force Base, Apo, AA 58703 | 2019-07-25 |
| 1003472572 | David Thomas Powell Jr. | Social Worker | 35 Mdos/sgow, Unit 5024, Apo, AP 96319-5024 | 2019-05-10 |
| 1003389123 | Heather R Baral | Social Worker | Unit 23746, Apo, AE 09034-3746 | 2019-01-11 |
| 1568938561 | Tae Kim | Social Worker | Bld S370, Camp Humphreys Behavioral Health Clinic, Apo, AP 96251-0016 | 2018-10-17 |
| 1043722077 | Claudia Kayatani | Social Worker | Ramstein Afb, 86th Mdg, Apo, AE 09094 | 2017-10-31 |
| 1093245656 | Cindy Rosemarie Bowers | Social Worker | Bldg 370 Camp Humphreys, Wh3s9a 549 Hc/baach Unit 15245, Apo, AP 96271 | 2017-06-15 |
| 1265979298 | Sara Esther Ratliff | Social Worker | Cmr 480 Box 890, Apo, AE 09128-0009 | 2017-01-29 |
| 1942746854 | Meghan Fields | Social Worker | Psc 80 Box 15764, Apo, AP 96367-0060 | 2017-01-17 |
| Find all providers in APO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.