National Provider Identifier Database

PAMELA J PATER ENNIS, LCSW,M.DIV., PHD – NPI #1174656409
Clinical

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.


Contact Information

PAMELA J PATER ENNIS, LCSW,M.DIV., PHD
114 BROOKVIEW TER
BERGENFIELD, NJ07621-3100
Phone: 201-962-6443
Fax: 201-541-8100
Website:
Specialty Taxonomy Code
* Clinical 1041C0700X
Pastoral 101YP1600X

* Indicates primary specialty

NPI Profile & details for PAMELA J PATER ENNIS

NPI Number 1174656409
Credentials LCSW,M.DIV., PHD
Entity Individual
Enumeration date 03/14/2007
Last updated 12/18/2019 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • NJ License #: 44SC05339100
  • NY License #: R042224-1
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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