Provider Demographics
NPI:1477705853
Name:SIMON, PAMELA KAUR (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:KAUR
Last Name:SIMON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:PAMELA
Other - Middle Name:KAUR
Other - Last Name:GREWAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:768 JOSHUA STAR COURT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138
Mailing Address - Country:US
Mailing Address - Phone:209-404-3470
Mailing Address - Fax:
Practice Address - Street 1:768 JOSHUA STAR COURT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89138
Practice Address - Country:US
Practice Address - Phone:209-404-3470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-16
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker