Organization
PAMELA CAVINESS LISW ACSW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA CAVINESS LISW ACSW (OWNER)
(515) 232-2051
Entity
Organization
Contact information
Practice address
600 5TH ST, SUITE 200, AMES, IA 50010-6085
(515) 232-2051
(515) 232-2775
Mailing address
600 5TH ST, SUITE 200, AMES, IA 50010-6085
(515) 232-2051
(515) 232-2775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00970
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0456855
—
IA
Enumeration date
02/24/2007
Last updated
08/22/2020
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