Provider Demographics
NPI:1780961268
Name:WOODROFFE, PAMELA JOAN (MSW, LICSW)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:JOAN
Last Name:WOODROFFE
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11727 CORLISS AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-8536
Mailing Address - Country:US
Mailing Address - Phone:206-769-1885
Mailing Address - Fax:
Practice Address - Street 1:14419 GREENWOOD AVE N STE A-213
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-6865
Practice Address - Country:US
Practice Address - Phone:206-339-9262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-10
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW601738041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical