PAMELA PETTIGREW, LCSW, LLC (NPI# 1972744605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972744605 |
| Entity Type | Organization |
| Organization Name | PAMELA PETTIGREW, LCSW, LLC |
| Practice Address |
10344 Greenbriar Pkwy Oklahoma City OK 73159-7643 |
| Practice Telephone | 4052373311 |
| Practice Fax Number | 4052373313 |
| Mailing Telephone | 4052373311 |
| Mailing Fax Number | 4052373313 |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |
| Authorized Official Name | PAMELA R PETTIGREW (CEO) |
| Authorized Official Telephone | 4052373311 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
1827 | OK | Behavioral Health & Social Service Providers |
| Street Address |
10344 GREENBRIAR PKWY |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73159-7643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508900044 | Margaux J. Hunter | Speech-Language Pathologist | 10344 Greenbriar Pkwy, Oklahoma City, OK 73159-7643 | 2007-02-17 |
| 1619313707 | Jennifer Davis | Counselor | 10344 Greenbriar Pkwy, Oklahoma City, OK 73159-7643 | 2013-05-15 |
| 1811330293 | Stephanie Anderson | Counselor | 10344 Greenbriar Pkwy, Oklahoma City, OK 73159-7643 | 2013-04-16 |
| 1558602441 | Jennifer Harjo | Counselor | 10344 Greenbriar Pkwy, Oklahoma City, OK 73159-7643 | 2013-03-03 |
| 1265771240 | Shayne Hughes | Counselor | 10344 Greenbriar Pkwy, Oklahoma City, OK 73159-7643 | 2013-02-11 |
| 1275872251 | Justin Muncy | Counselor | 10344 Greenbriar Pkwy, Oklahoma City, OK 73159-7643 | 2013-02-11 |
| 1780937060 | Kyle Wayne Petitt | Counselor | 10344 Greenbriar Pkwy, Oklahoma City, OK 73159-7643 | 2012-10-24 |
| 1386901460 | Danika Hurley | Counselor | 10344 Greenbriar Pkwy, Oklahoma City, OK 73159-7643 | 2012-04-13 |
| 1316116213 | Tina L. Smith | Speech-Language Pathologist | 10344 Greenbriar Pkwy, Oklahoma City, OK 73159-7643 | 2008-02-25 |
| 1477672582 | Kelli L Smith | Speech-Language Pathologist | 10344 Greenbriar Pkwy, Oklahoma City, OK 73159-7643 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849528 | Mel Vision LLC | Optometrist | 1413 W Interstate 240 Service Rd, Suite E, Oklahoma City, OK 73159 | 2020-10-20 |
| 1053959247 | Phillip J Elassal Dds Pllc | Clinic/Center | 1601 Sw 89th Street #g500, Oklahoma City, OK 73159 | 2019-12-18 |
| 1629573407 | Carrie Lynn Sanchez | Case Manager/Care Coordinator | 2604 Sw 92nd Street, Oklahoma City, OK 73159 | 2018-03-26 |
| 1407368038 | Deborah Dorton | Psychologist | Okc Va Hcs (111a), 921 Ne 13th St, Oklahoma City, OK 73159 | 2017-11-06 |
| 1366969933 | Matthew Lewis Hearne | Case Manager/Care Coordinator | 7504 S Country Club Dr, Apt 105, Oklahoma City, OK 73159 | 2017-08-24 |
| 1043766405 | Pro Hearing, LLC | Clinic/Center | 10404 S Pennsylvania Ave, Oklahoma City, OK 73159 | 2016-08-26 |
| 1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
| 1235511288 | Anusha Koneru | Dentist | 1610 W Interstate 240 Service Road, Oklahoma City, OK 73159 | 2015-06-26 |
| 1114347069 | Crystal A Dockery | Family Medicine | 3212 Sw 89th St Ste 100, Oklahoma City, OK 73159 | 2014-04-18 |
| 1790121440 | Kimberly Anne Dyer | Occupational Therapy Assistant | 5725 S Ross, Oklahoma City, OK 73159 | 2013-05-21 |
| Find all providers in zip 73159 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780920918 | Stephanie Coleman | Social Worker | 2828 Nw 57th St Ste 302, Oklahoma City, OK 73112-7070 | 2012-12-16 |
| 1215480736 | Calli Mills | Social Worker | 1100 Nw 14th St, Oklahoma City, OK 73106-4450 | 2016-08-02 |
| 1306399704 | Kahdeja Henry | Social Worker | 1100 Nw 14th St, Oklahoma City, OK 73106-4450 | 2016-08-02 |
| 1801249271 | Lye Rojas | Social Worker | 1100 Nw 14th St, Oklahoma City, OK 73106-4450 | 2016-07-20 |
| 1386095784 | Teri Barkus | Social Worker | 1100 Nw 14th St, Oklahoma City, OK 73106-4450 | 2016-06-27 |
| 1467803866 | Haven A. Harrison | Social Worker | 1100 Nw 14th St, Oklahoma City, OK 73106-4450 | 2016-06-27 |
| 1477924181 | Samantha Walker | Social Worker | 500 Se Grand Blvd, Oklahoma City, OK 73129-4948 | 2015-10-08 |
| 1659742278 | Cinthya Nallely Manzano | Social Worker | 500 Se Grand Blvd, Oklahoma City, OK 73129-4948 | 2015-10-08 |
| 1770954315 | Erica Walker | Social Worker | 500 Se Grand Blvd, Oklahoma City, OK 73129-4948 | 2015-10-08 |
| 1619295227 | Boston Snowden | Social Worker | 301 Nw 63rd St, Oklahoma City, OK 73116-7907 | 2010-05-06 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73159 |
Please comment or provide details below to improve the information on PAMELA PETTIGREW, LCSW, LLC.
| 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.