Provider Demographics
NPI:1518004548
Name:BEILER, PAMELA F (LCSW)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:F
Last Name:BEILER
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 1:400 ROBERSON ST
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-2367
Mailing Address - Country:US
Mailing Address - Phone:919-960-3775
Mailing Address - Fax:919-960-3799
Practice Address - Street 1:400 ROBERSON ST
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-2367
Practice Address - Country:US
Practice Address - Phone:919-960-3775
Practice Address - Fax:919-960-3799
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0051351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6106104Medicaid