Individual
MS. PAMELA NASH MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW, ACSW
Contact information
Practice address
127 EASTGATE DR, SUITE 206, LOS ALAMOS, NM 87544-3300
(505) 920-0460
(505) 995-1983
Mailing address
155 CALLE DON JOSE, SANTA FE, NM 87501-2391
(505) 995-1983
(505) 995-1983
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-4117 LISW
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11984123
CAQH
NM
05
—
IN PROCESS
—
NM
Enumeration date
07/11/2009
Last updated
07/11/2009
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