Provider Demographics
NPI:1750632733
Name:SCHULTZ, PAMELA (LCSW)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:SCHULTZ
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:PO BOX 3240
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28603-3240
Mailing Address - Country:US
Mailing Address - Phone:828-237-1760
Mailing Address - Fax:828-579-2760
Practice Address - Street 1:2325 25TH AVENUE CT NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-9103
Practice Address - Country:US
Practice Address - Phone:828-237-1760
Practice Address - Fax:828-579-2760
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0089031041C0700X
NCP0059741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical