Individual provider · Type 1 NPI

Pamela Demosthenes Rustin, LCSW, CP CAC II

Clinical Social Worker · Apo, AE

NPI number 1053337592 Active

Practice location

Wiesbaden Army Substance Abuse Program, Unit 29623
Apo, AE 09096

Mailing address

4300 Sapphire Ct, Ste 110
Greenville, NC 27834-9079

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC006055 (NC)
Clinical Social Worker 1041C0700X06223 (SC)
Addiction (Substance Use Disorder) Counselor 101YA0400X64648 (SC)

Clinical Social Worker: 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 interpers…

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About NPI 1053337592

Pamela Demosthenes Rustin, LCSW, CP CAC II's National Provider Identifier is 1053337592, issued on Jul 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Apo, AE. The record was last updated on Oct 25, 2016.