Active NPI
Pamela Andrews
- Social Worker
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 111801
- Practice address
- 255 E 98TH St
Brooklyn, NY 11212-8817 - Phone
- (718) 881-1524
- NPI assigned
- Nov 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 111801 | NY | Primary |
Addresses
Primary practice location
255 E 98TH St
Brooklyn, NY 11212-8817
Mailing address
255 E 98TH St
Brooklyn, NY 11212-8817
Phone (718) 881-1524
Other practice location 1
117 Long Pond Ln
Staten Island, NY 10304-4648
Phone (646) 656-0732
Other practice location 2
1841 Park Ave
New York, NY 10035-1316
Phone (929) 303-4401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133303089 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MN, NJ, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111801 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Current | Accepting new patients | |
| Grow Healthcare Group of New Jersey PC | Current | Accepting new patients | |
| Jubilee Psychotherapy LCSW PLLC | Current | Accepting new patients |
Locations
2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597
3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689
221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
Networks
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- TN PPO C-SNP
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- TN PPO
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Hoboken, NJ
- NPI 1841949328
-
- Clinical Social Worker
- Brooklyn, NY
- NPI 1215774781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1003384231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 E 98TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112128817",
"telephone_number": "718-881-1524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 E 98TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112128817",
"telephone_number": "718-881-1524"
}
],
"practiceLocations": [
{
"address_1": "117 Long Pond Ln",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103044648",
"country_code": "US",
"telephone_number": "646-656-0732",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1841 Park Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100351316",
"country_code": "US",
"telephone_number": "929-303-4401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDREWS",
"first_name": "PAMELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-06",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "111801",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133303089",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.