Provider Demographics
NPI:1235358797
Name:ROGERS, PAMELA MAY (LCSW)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:MAY
Last Name:ROGERS
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 1:19375 ACCLAIM DRIVE
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93908
Mailing Address - Country:US
Mailing Address - Phone:831-512-6106
Mailing Address - Fax:
Practice Address - Street 1:19375 ACCLAIM DRIVE
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93908
Practice Address - Country:US
Practice Address - Phone:831-512-6106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW288241041C0700X
CAASW 186361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical