Pamela Rena Brider
NPI 1639562572ActiveIndividual· Social Worker, Clinical· Orange, CA
Social Worker, Clinical in Orange, California, licensed in CA, with an NPI issued in March 2015. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1639562572 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 17, 2015 |
| Last updated in NPPES | Dec 4, 2020 |
| Certified by provider | Dec 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LCSW96447 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (CA) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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