Provider Demographics
NPI:1154673796
Name:LEFEVER, PAMELA H (LCSW)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:H
Last Name:LEFEVER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 DEERCLIFF RD
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-2855
Mailing Address - Country:US
Mailing Address - Phone:860-690-4232
Mailing Address - Fax:
Practice Address - Street 1:40 TOWER LN
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-4222
Practice Address - Country:US
Practice Address - Phone:860-677-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-05
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0089001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical