Individual provider Active NPI

Pamela Ann Myers, LCSW

  • Clinical Social Worker
  • Lancaster, NY
National Provider Identifier
1013056829
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R041693-1 Issued in NY
Practice address
5580 Broadway St Ste 4
Lancaster, NY 14086-2380
Phone
(716) 479-8590
Fax
(888) 972-8216
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X R041693-1 NY
Clinical Social Worker 1041C0700X R041693-1 NY Primary

Addresses

Primary practice location

5580 Broadway St Ste 4
Lancaster, NY 14086-2380

Mailing address

5580 Broadway St Ste 4
Lancaster, NY 14086-2380
Phone (716) 479-8590

Other practice location 1

4955 N Bailey Ave Ste 130
Amherst, NY 14226-1206
Phone (716) 835-1246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20141203001871 NY Practitioner - Clinical Social Worker 6002138989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Psychiatric Practice IncGroup PAC ID 3375442056, 11 clinicians

Practice addresses (Care Compare)

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-4857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R041693-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Psychiatric Practice, Inc Single Specialty CurrentSince Jan 2, 2014 Accepting new patients
Howard C. Wilinsky, M.D., P.C. Single Specialty Past Accepting new patients

Locations

462 Grider St
Rm 1168
Buffalo, NY 14215
Phone (716) 898-4857

4955 N Bailey Ave
Ste 130
Buffalo, NY 14226
Phone (716) 633-1240

Organizations & group practices 2

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1013056829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 BROADWAY ST STE 4",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140862380",
            "telephone_number": "716-479-8590",
            "fax_number": "888-972-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 BROADWAY ST STE 4",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140862380",
            "telephone_number": "716-479-8590",
            "fax_number": "888-972-8216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4955 N Bailey Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142261206",
            "country_code": "US",
            "telephone_number": "716-835-1246",
            "fax_number": "716-835-0396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "R041693-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R041693-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, NY

Sources for this page

Verify at the official NPI Registry.