MISS PAMELA COTTRELL (NPI# 1720383466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720383466 |
| Entity Type | Individual |
| Full Name | MISS PAMELA COTTRELL |
| Credential | LMSW |
| Practice Address |
3502 W Northside Dr Jackson MS 39213-4454 |
| Practice Telephone | 6013625321 |
| Practice Fax Number | 6019812016 |
| Mailing Telephone | 6013625321 |
| Mailing Fax Number | 6019812016 |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | M7639 | MS | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | M7639 | MS | Other Service Providers |
| Street Address |
3502 W NORTHSIDE DR |
| City | JACKSON |
| State | MS |
| Zip Code | 39213-4454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952386559 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2005-12-07 |
| 1689217812 | Ebony Martin | Case Manager/Care Coordinator | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2019-10-21 |
| 1275189938 | April Terrain Perry | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213 | 2019-08-16 |
| 1013473891 | Ericia Latrice Cannon | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2019-02-16 |
| 1578037172 | Jennifer Henley | Internal Medicine | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2019-01-16 |
| 1003388968 | Tiffani Ricchele Mcknight | Social Worker | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2018-12-17 |
| 1356810360 | Thrishanna Clark | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2018-11-19 |
| 1376034660 | Sirna Musa | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2018-05-23 |
| 1033649058 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2017-06-13 |
| 1013451780 | Katrice Pacley Andrews | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2016-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117980 | Cynthia Bailey | Technician | 916 Carnation Street, Jackson, MS 39213 | 2019-10-30 |
| 1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
| 1275057069 | Nikita Patel | Pharmacist | 830 West Woodrow Wilson Avenue, Jackson, MS 39213 | 2017-08-02 |
| 1346782893 | Mississippi Smiles Dentistry LLC | Dentist | 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 | 2016-11-15 |
| 1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
| 1518410778 | Assurance Home Health Services, LLC | Health Maintenance Organization | 1771 Hamilton Blvd., Jackson, MS 39213 | 2016-07-25 |
| 1831576180 | Dorothy Jeffries Anderson | Counselor | 350 Woodrow Wilson Ave, Jackson, MS 39213 | 2015-05-06 |
| 1740697275 | Sincere Home Care LLC. | Chore Provider | 5911 Holmes Ct, Jackson, MS 39213 | 2014-07-16 |
| 1629401088 | Deborah Diane Wright | Assisted Living Facility | 5911 Holmes Court, Jackson, MS 39213 | 2013-08-20 |
| 1245663251 | Methodist Home Road Living Center | Licensed Practical Nurse | 4560 Methodist Home Road, Jackson, MS 39213 | 2013-08-13 |
| Find all providers in zip 39213 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989612 | Rhonda Bufkin | Social Worker | 405 Briarwood Dr Ste 302, Jackson, MS 39206-3052 | 2020-10-13 |
| 1023645884 | Cycle of Life Support Community Health Services LLC | Social Worker | 1520 E Ganson St, Jackson, MI 49202-3530 | 2020-03-23 |
| 1669006532 | Alexis Holly | Social Worker | 405 Briarwood Dr # 302, Jackson, MS 39206-3052 | 2020-02-28 |
| 1609418250 | Ashley Frascella | Social Worker | 13 Parkhill St, Jackson, NJ 08527-3737 | 2019-10-16 |
| 1104475268 | Valerie Baker | Social Worker | 172 W University Pkwy Ste A, Jackson, TN 38305-1622 | 2019-09-10 |
| 1548815863 | Lily Kovach | Social Worker | 6552 Smith Rd, Jackson, MI 49201-9612 | 2019-08-04 |
| 1285298513 | Kyla Milan Washington | Social Worker | 950 W Monroe St Ste 600a&b, Jackson, MI 49202-2079 | 2019-04-22 |
| 1639630551 | Pamela Stalter-o'neil | Social Worker | 5572 Viking Dr, Jackson, MI 49201-8815 | 2019-03-26 |
| 1407316284 | Yvonne Vieira Moffett | Social Worker | 950 W Monroe St Ste A&600b, Jackson, MI 49202-2079 | 2019-03-20 |
| 1710458419 | Jasmine Grace Walker | Social Worker | 338 Galvez St, Jackson, MS 39209-3903 | 2018-12-06 |
| Find all providers in JACKSON | ||||
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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.