Active NPI
Pamela Pendergrast-Grayden, LMSW
- Social Worker
- Amityville, NY
National Provider Identifier
1033344676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 075084-1
- Practice address
- 77 Ireland PL Unit 216
Amityville, NY 11701-6009 - Phone
- (843) 259-0226
- NPI assigned
- May 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 075084-1 | NY | Primary |
Addresses
Primary practice location
77 Ireland PL Unit 216
Amityville, NY 11701-6009
Mailing address
PO Box 216
Amityville, NY 11701-0216
Phone (843) 259-0226
Other names 1
- Ms. Pamela Pendergrast-Grayden
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075084-1 | NY | MD | Social Worker |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1033344676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 216",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117010216",
"telephone_number": "843-259-0226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 IRELAND PL UNIT 216",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117016009",
"telephone_number": "843-259-0226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDERGRAST-GRAYDEN",
"first_name": "PAMELA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-27",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "075084-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "PENDERGRAST-GRAYDEN",
"prefix": "MS.",
"credential": "LMSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Amityville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.