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Pamela S Caldwell

Counselor

Behavioral Health & Social Service Providers

1901 Tate Springs Rd, Lynchburg, VA 24501-1109

PECOS Enrollment

This provider is enrolled in PECOS as PAMELA CALDWELL.

Based on the most recent information from CMS, provider Pamela S Caldwell is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1114929940
Provider Type
Individual
Full Name
Caldwell, Pamela S
Credential
LPC

Gender
Female
Sole Proprietor
No
Enumeration Date
8/11/2005
Last Updated
7/8/2007

Contact Information

Practice Location

1901 Tate Springs Rd, Lynchburg, VA 24501-1109

(434) 947-3033

Unlisted Fax

Mailing Location

1204 Fenwick Dr, Lynchburg, VA 24502-2112

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701002195 Virginia

Provider Identifiers

ID	Description	Issuer
ID 203639329015	Description Other	Issuer TRICARE PROVIDER NUMBER
ID O80304M	Description Other	Issuer SENTARA/OPTIMA PROVIDER N
ID 186612	Description Other	Issuer ANTHEM PROVIDER NUMBER

Pamela S Caldwell

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Hanson, Stacia

Gunter, Martha Ann

Cooper, Ethan R

Beck, Mark W

Hammett, Sean

Mental Health America Of Central Virginia

Silver, Amanda Erin

Tucker, Amy Billingsly

Hodge, Gerrie Luann

Mace, Erin Sheetz