Provider Demographics
NPI:1427353440
Name:OSBORNE, PAMELA SUE (MSW)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:SUE
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:SUE
Other - Last Name:TURNWALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:418 SE 1ST TER
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-4011
Mailing Address - Country:US
Mailing Address - Phone:239-309-3767
Mailing Address - Fax:
Practice Address - Street 1:418 SE 1ST TER
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-4011
Practice Address - Country:US
Practice Address - Phone:239-309-3767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-22
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0076851041C0700X
NE383,880,18021041C0700X
FLSW0043171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical