Individual
PAMELA D KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
9532 ABERDARE DR, INDIANAPOLIS, IN 46250-3407
(317) 515-7878
Mailing address
10903 LANTERN VIEW DR APT 114, FISHERS, IN 46038-4216
(317) 260-6012
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003689A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000639623
ANTHEM PIN# HPN
—
05
—
100073590
—
IN
01
—
1588779532
PAMELA DEE COUNSELING
IN
05
—
200459330A GROUP#
—
IN
01
—
340003689A
1588779532
IN
Enumeration date
08/20/2006
Last updated
03/03/2025
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