Provider Demographics
NPI:1447699301
Name:FREEMAN, PAMELA KAY (LMSW)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:KAY
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 AURORA AVE
Mailing Address - Street 2:STE 103E
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-6338
Mailing Address - Country:US
Mailing Address - Phone:515-401-6886
Mailing Address - Fax:515-401-6886
Practice Address - Street 1:1200 UNIVERSITY AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-2343
Practice Address - Country:US
Practice Address - Phone:515-558-6247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2017-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0082131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical