Provider Demographics
NPI:1831247683
Name:PITCHFORD, PAMELA JANE (LCSW)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:JANE
Last Name:PITCHFORD
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 74051
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23236-0001
Mailing Address - Country:US
Mailing Address - Phone:804-674-9375
Mailing Address - Fax:804-674-9379
Practice Address - Street 1:7303 HULL STREET RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-5805
Practice Address - Country:US
Practice Address - Phone:804-674-9375
Practice Address - Fax:804-674-9379
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040044901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical