Individual provider Active NPI

Pamela J Day, LCSW

  • Clinical Social Worker
  • Deer Park, NY
National Provider Identifier
1154566875
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081353-1 Issued in NY
Practice address
240 Lake Ave # 3a
Deer Park, NY 11729-4128
Phone
(631) 356-7550
NPI assigned
Dec 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 078199-1 NY
Clinical Social Worker 1041C0700X 081353-1 NY Primary

Addresses

Primary practice location

240 Lake Ave # 3a
Deer Park, NY 11729-4128

Mailing address

240 Lake Ave
Deer Park, NY 11729-4128
Phone (631) 356-7550

Other identifiers 1

IdentifierTypeStateIssuer
078199-1MedicaidNY

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
I20240607002877 NY Practitioner - Clinical Social Worker 0143502138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Visiting Counselors of New York, LCSW, PLLCGroup PAC ID 4688932106, 26 clinicians
Visiting Counselors LCSW PLLCGroup PAC ID 8426393968, 28 clinicians

Practice addresses (Care Compare)

900 Walt Whitman Rd
Suite LL1
Melville, NY 11747-2215
Phone (516) 698-5511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
078199-1NYMDSocial Worker
081353-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Counselors, LCSW, PLLC Clinical CurrentSince Aug 5, 2025 Accepting new patients
Visiting Counselors of New York, LCSW, PLLC Clinical CurrentSince May 13, 2024 Accepting new patients
Shine Medical Providers PC Past Accepting new patients
Shine Medical PC Past Accepting new patients

Locations

900 Walt Whitman Rd
Ste LL1
Melville, NY 11747
Phone (516) 698-5511

Organizations & group practices 4

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": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1154566875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 LAKE AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117294128",
            "telephone_number": "631-356-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 LAKE AVE # 3A",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117294128",
            "telephone_number": "631-356-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "PAMELA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "078199-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081353-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078199-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

Verify at the official NPI Registry.