Individual provider Active NPI

Pamela Andrews

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1003384231
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
111801 Issued in NY
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

Updated by the provider on Feb 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
133303089MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MN, NJ, NC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20260210000547 NY Practitioner - Clinical Social Worker 3072092196 Reassigns benefits to 1 organization
I20260211003990 MN Practitioner - Clinical Social Worker 3072092196 Reassigns benefits to 1 organization
I20260211004314 NJ Practitioner - Clinical Social Worker 3072092196 Reassigns benefits to 1 organization
I20260214000217 NC Practitioner - Clinical Social Worker 3072092196 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
111801NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince Jan 2, 2026 Accepting new patients
Grow Healthcare Group of New Jersey PC CurrentSince Jan 10, 2026 Accepting new patients
Jubilee Psychotherapy LCSW PLLC CurrentSince Jul 21, 2024 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.

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

Verify at the official NPI Registry.