Individual
PAMELA MESSORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDP00245
RI
1041C0700X
Clinical Social Worker
Primary
ISW01266
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000029999
BLUE CHIP
RI
01
—
0000413043
BLUE CROSS
RI
01
—
6248195
UNITED HEALTH
RI
05
—
PM57195
—
RI
Enumeration date
10/04/2006
Last updated
09/11/2025
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