Provider Demographics
NPI:1831510486
Name:THOMPSEN, PAMALA DAWN (LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:PAMALA
Middle Name:DAWN
Last Name:THOMPSEN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2116 WILDWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:POCOMOKE CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21851-3546
Mailing Address - Country:US
Mailing Address - Phone:410-251-4073
Mailing Address - Fax:
Practice Address - Street 1:2116 WILDWOOD TRL STE 8
Practice Address - Street 2:
Practice Address - City:POCOMOKE CITY
Practice Address - State:MD
Practice Address - Zip Code:21851-3546
Practice Address - Country:US
Practice Address - Phone:410-251-4073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-30
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD101511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical