Active NPI
Pamela D Cambardella, LCSW-C
- Clinical Social Worker
- Chestertown, MD
National Provider Identifier
1013023845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 02571
- Practice address
- 6602 Church Hill Rd
Suite 500
Chestertown, MD 21620-2310 - Phone
- (410) 778-5550
- Fax
- (410) 778-0984
- NPI assigned
- Aug 22, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 02571 | MD | Primary |
Addresses
Primary practice location
6602 Church Hill Rd
Suite 500
Chestertown, MD 21620-2310
Mailing address
6602 Church Hill Rd
Suite 500
Chestertown, MD 21620-2310
Phone (410) 778-5550
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121974 | Other | MD | AMERICAN PSYCH SYSTEM # |
| 31153 | Other | MD | JOHNS HOPKINS ID# |
| 5108250 | Other | MD | AETNA ID# |
| 720406 | Other | MD | NCPPO ID# |
| 62-82986 | Other | MD | UBH ID# |
| LT86-0007 | Other | MD | BLUE CROSS LOCAL GROUP # |
| 32839 | Other | MD | MAMSI GROUP# |
| 1004274 | Other | MD | CIGNA HEALTHCARE ID# |
| 180830 | Other | MD | HEALTHNET/TRICARE ID# |
| 00903 | Other | MD | VALUE OPTIONS ID# |
| T418-0007 | Other | MD | BLUE CROSS NAT GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02571 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013023845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6602 CHURCH HILL RD",
"address_2": "SUITE 500",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "216202310",
"telephone_number": "410-778-5550",
"fax_number": "410-778-0984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6602 CHURCH HILL RD",
"address_2": "SUITE 500",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "216202310",
"telephone_number": "410-778-5550",
"fax_number": "410-778-0984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMBARDELLA",
"first_name": "PAMELA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "02571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN PSYCH SYSTEM #",
"identifier": "121974",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS ID#",
"identifier": "31153",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID#",
"identifier": "5108250",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO ID#",
"identifier": "720406",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH ID#",
"identifier": "62-82986",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS LOCAL GROUP #",
"identifier": "LT86-0007",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI GROUP#",
"identifier": "32839",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE ID#",
"identifier": "1004274",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET/TRICARE ID#",
"identifier": "180830",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS ID#",
"identifier": "00903",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS NAT GROUP #",
"identifier": "T418-0007",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chestertown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.