Pamela Clark, LPN
Case Manager/Care Coordinator in Bennington, VT. Individual provider (NPI-1).
NPI number1124897939
StatusActive
Last updated in NPPESDec 21, 2023
Details
- NPI
- 1124897939
- Entity type
- Individual (NPI-1)
- Name
- Pamela Clark
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2023
- Certification date
- Dec 19, 2023
- Last updated
- Dec 21, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
100 Ledgehill RdBennington, VT 05201-2273
Phone 802-442-5491
Mailing address
100 Ledgehill RdBennington, VT 05201-2273
Phone 802-442-5491
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 21 Case Manager/Care Coordinator providers in Bennington · All 670 providers in Bennington
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