Provider Demographics
NPI:1174679088
Name:WARLAUMONT, PAM R (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:PAM
Middle Name:R
Last Name:WARLAUMONT
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 GEORGIA BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-2012
Mailing Address - Country:US
Mailing Address - Phone:321-246-1948
Mailing Address - Fax:
Practice Address - Street 1:1430 GEORGIA BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-2012
Practice Address - Country:US
Practice Address - Phone:321-246-1948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
FLSW93941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical