Provider Demographics
NPI:1639345549
Name:BREWER, PAMELA BARRETT (MSW)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:BARRETT
Last Name:BREWER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:GERALDINE
Other - Middle Name:PAMLA
Other - Last Name:HAILSTOLK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:7315 WISCONSIN AVE
Mailing Address - Street 2:SUITE 235 EAST TOWER
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3202
Mailing Address - Country:US
Mailing Address - Phone:301-654-5286
Mailing Address - Fax:301-654-1087
Practice Address - Street 1:7315 WISCONSIN AVE
Practice Address - Street 2:SUITE 235 EAST TOWER
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3202
Practice Address - Country:US
Practice Address - Phone:301-654-5286
Practice Address - Fax:301-654-1087
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD062571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical