MS. PAMELA M WAGGONER LICSW LADCI
NPI 1336255207
Social Worker - Clinical in Georgetown, MA

Active since August 22, 2006
65 CENTRAL ST., GEORGETOWN, MA 01833(978) 352-3380 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Pamela M Waggoner Licsw Ladci NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. PAMELA M WAGGONER LICSW LADCI (NPI 1336255207) is an individual clinical provider in Georgetown, Massachusetts, licensed in Massachusetts (105036) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1336255207
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. PAMELA M WAGGONERCredential: LICSW LADCI
Location Address65 CENTRAL ST.Georgetown, MA 01833
Mailing Address65 Central St.Georgetown, MA 01833 · (978) 352-3380
Sole ProprietorNo
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1336255207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 105036
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
65 CENTRAL ST., Georgetown, MA 01833

Other Identifiers 3

Medicare ID-Type UnspecifiedP20704
OtherP03196MA · Bcbs
Other105036MA · Tuft Health Plan

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pamela Waggoner's NPI number?

The NPI number for Pamela Waggoner is 1336255207. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Pamela Waggoner located?

Pamela Waggoner practices at 65 Central St., Georgetown, MA 01833. The listed phone number is (978) 352-3380.

What is Pamela Waggoner's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Pamela Waggoner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.