Provider Demographics
NPI:1295753358
Name:FRIEDEN, PAMELA (LSCSW)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:FRIEDEN
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:
Other - Last Name:GAINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1121 W GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:HAYSVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:67060-1259
Mailing Address - Country:US
Mailing Address - Phone:316-522-9063
Mailing Address - Fax:
Practice Address - Street 1:141 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HAYSVILLE
Practice Address - State:KS
Practice Address - Zip Code:67060-1202
Practice Address - Country:US
Practice Address - Phone:316-200-8977
Practice Address - Fax:316-524-5171
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS36301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical