Provider Demographics
NPI:1982473955
Name:CREGGER, PAMELA (LCSW)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:CREGGER
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 1:5185 SUGAR GROVE HWY
Mailing Address - Street 2:
Mailing Address - City:SUGAR GROVE
Mailing Address - State:VA
Mailing Address - Zip Code:24375-3141
Mailing Address - Country:US
Mailing Address - Phone:276-237-6520
Mailing Address - Fax:
Practice Address - Street 1:5185 SUGAR GROVE HWY
Practice Address - Street 2:
Practice Address - City:SUGAR GROVE
Practice Address - State:VA
Practice Address - Zip Code:24375-3141
Practice Address - Country:US
Practice Address - Phone:276-237-6520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-01
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040139751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical