MS. Pamela J Pater-Ennis, LCSW, MDIV, PHD
MS. Pamela J Pater-Ennis, LCSW, MDIV, PHD is a Clinical Social Worker in Bergenfield, New Jersey. Qualified in 1983, 43 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.
- Years since qualifying
- 43
- Licensed in
- NJ, NY
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
Practice location Address checks out
114 Brookview TerBergenfield, NJ 07621-3100
Phone: (201) 962-6443
Fax: (201) 541-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 44SC05339100 (NJ) |
|---|---|
| Pastoral Counselor | Taxonomy 101YP1600X |
| Clinical Social Worker | Taxonomy 1041C0700X · Licence R042224-1 (NY) |
Record details
| NPI number | 1174656409 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW , MDIV , PHD |
| Sole proprietor | Yes |
| NPI enumerated | March 14, 2007 |
| Last updated in NPPES | December 18, 2019 |
| Certification date | December 18, 2019 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 1983 (43 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |