PAUL DAVID PANGBURN JR. (NPI# 1508297482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508297482 |
| Entity Type | Individual |
| Full Name | PAUL DAVID PANGBURN JR. |
| Credential | LCSW |
| Practice Address |
712 Ricks Cir Brookhaven PA 19015-1426 |
| Practice Telephone | 6108763806 |
| Mailing Telephone | 6108763806 |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW017918 | PA | Behavioral Health & Social Service Providers |
| Street Address |
712 RICKS CIR |
| City | BROOKHAVEN |
| State | PA |
| Zip Code | 19015-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487262614 | Hometown Rx Services | Pharmacy | 3406 Edgmont Avenue, Suite B, Brookhaven, PA 19015 | 2020-07-14 |
| 1932650926 | Giant Food Stores LLC | Durable Medical Equipment & Medical Supplies | 4930 Edgemont Ave, Brookhaven, PA 19015 | 2016-10-14 |
| 1982009254 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 225 Upland Road, Brookhaven, PA 19015 | 2014-10-29 |
| 1790959633 | Darlene M Longstreth | Massage Therapist | 3766 Susan Lane, Kinderssage, Brookhaven, PA 19015 | 2008-04-22 |
| 1538205463 | Scott Thomas Steltz | Pharmacist | 601 Upland Ave Suite 112, Steltec Pharmacy - Crozier Mills Enterprise Center, Upland, PA 19015 | 2007-01-29 |
| 1083769327 | Parkside Fire Company | Ambulance | 107 West Roland, Parkside, PA 19015 | 2007-01-25 |
| 1295894699 | Elizabeth Katherine Deegan | Counselor | 4928 Shepard St., Brookhaven, PA 19015 | 2006-12-08 |
| 1013093244 | Jeffrey Keith Rosen | Family Medicine | 100 East Brookhaven Rd, Brookhaven, PA 19015 | 2006-10-31 |
| 1013015726 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3298 Edgemont Ave, Brookhaven, PA 19015 | 2006-09-20 |
| 1285743187 | Micheal A Erbicella | Dentist | 3213 Edgmont Ave, Brookhaven, PA 19015 | 2006-08-30 |
| Find all providers in zip 19015 | ||||
| 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 |
|---|---|---|---|---|
| 1699390492 | Latonia A Jennings | Social Worker | 2724 Brookhaven Vw Ne, Brookhaven, GA 30319-5402 | 2020-06-08 |
| 1821553132 | Lauren Nicole Stingily | Social Worker | 1661 Berkford Ct Ne, Brookhaven, GA 30319-1707 | 2019-01-31 |
| 1740768019 | Ruth Winifred Hendry | Social Worker | 713 Creekside Dr, Brookhaven, PA 19015-2329 | 2018-07-30 |
| 1386160901 | Shannon Rose Marshall | Social Worker | 9 Newey Ln, Brookhaven, NY 11719-9634 | 2017-08-15 |
| 1083073712 | Ronnie Klein | Social Worker | 3639 Ashcroft Bnd Ne, Atlanta, Brookhaven, GA 30319-2172 | 2016-02-23 |
| 1720471709 | Valarie Smith | Social Worker | 2801 Buford Hwy Ne Ste 501, Brookhaven, GA 30329-2137 | 2015-03-14 |
| 1275944068 | Simone Sobel | Social Worker | 2801 Buford Hwy Ne Ste 290, Brookhaven, GA 30329-2142 | 2014-05-14 |
| 1821395724 | Deborah Ann Deverall | Social Worker | 240 S Country Rd, Brookhaven, NY 11719-9700 | 2011-02-12 |
| 1881844009 | Larry G Ray | Social Worker | 115 N. Cleveland Avenue, Brookhaven, MS 39601-2713 | 2008-09-24 |
| 1841497419 | Julie Kaye Vadino | Social Worker | 142 W Forrestview Rd, Brookhaven, PA 19015-3111 | 2007-06-28 |
| Find all providers in BROOKHAVEN | ||||
| City | BROOKHAVEN |
| Zip Code | 19015 |
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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.