Pam L Fore is a Clinical in Brainerd, Minnesota. Pam L Fore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Pam L Fore is 1861533630. The last update date is 2007-07-08.
Pam L Fore's current location address is 520 Nw 5th St, Brainerd, Minnesota. You can contact this provider via phone number 2188293235. The mailing address for Pam L Fore is 520 Nw 5th St, Brainerd, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pam L Fore |
|---|---|
| Address | 520 Nw 5th St, Brainerd, Minnesota |
| Phone Number | 2188293235 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1861533630 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 520 Nw 5th St |
|---|---|
| City | Brainerd |
| State | Minnesota (MN) |
| Post Code | 564012902 |
| Phone Number | 2188293235 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 10461 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1022975 | MN | PREFERRED ONE | |
| 127665 | MN | UCARE | |
| 639B90FO | MN | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Pam L Fore by the Centers for Medicare & Medicaid Services?
The Pam L Fore has been issued the NPI (National Provider Identifier) 1861533630, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Pam L Fore's facilities are geographically located?
The facilities of Pam L Fore are physically situated at the following location: 520 Nw 5Th St, Brainerd, MN, 564012902.
What is Pam L Fore's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pam L Fore is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did Pam L Fore receive its 1861533630 assignment from the Centers for Medicare & Medicaid Services?
The Pam L Fore was assigned its 1861533630 on 2007-02-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Pam L Fore's information last updated?
The Pam L Fore's information was last updated on 2007-07-08.