Provider Demographics
NPI:1972858934
Name:NEHER, PAMELA V (LCSW)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:V
Last Name:NEHER
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 1:1666 E 32ND ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-1530
Mailing Address - Country:US
Mailing Address - Phone:510-410-6103
Mailing Address - Fax:
Practice Address - Street 1:4173 MACARTHUR BLVD
Practice Address - Street 2:SUITE 6
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94619-1932
Practice Address - Country:US
Practice Address - Phone:510-410-6103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA276191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical