Pamela Raber, LCSW
Individual provider Active NPI Clinical Social Worker · Coal City, IL
NPI 1154862845 · NPPES record last updated Apr 22, 2020
Key facts
- NPI
- 1154862845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.076991 (IL)
- Practice address
- 40 N Broadway St
Coal City, IL 60416-1688 - Phone
- (630) 352-7267
- Fax
- (779) 234-6513
- NPI assigned
- Mar 14, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Therapy Group, LLC
Practice addresses (Care Compare)
1555 Fording Island Rd
Suite C1
Hilton Head Island, SC 29926-1176
Phone (843) 815-6789
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210723002622 | SC | Practitioner - Clinical Social Worker | 0143505529 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.076991 | IL | MD | Clinical Social Worker |
| 13576 | SC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Group, LLC | Clinical | Current |
Accepting new patients |
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Brave Health Medical Group PA | Past | Accepting new patients |
Locations
20 Towne Dr
Bluffton, SC 29910
Phone (843) 441-9208
1555 Fording Island Rd
Ste C1
Hilton Head Island, SC 29926
Phone (843) 815-6789
Interoperability endpoints
- pamelaraber@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.076991 | IL | Yes |
Addresses
Primary practice location
40 N Broadway St
Coal City, IL 60416-1688
Mailing address
105 E Galena Blvd FL 3
Aurora, IL 60505-3338
Phone (866) 830-0450
Other practice location 1
35445 Washington St
Custer Park, IL 60481-9115
Phone (630) 352-7267
Other practice location 2
11965 S Aero Dr Ste A
Plainfield, IL 60585-9712
Phone (630) 362-5777
Other practice location 3
105 E Galena Blvd Fl 3
Aurora, IL 60505-3338
Phone (866) 830-0450
Other practice location 4
740 E Division St
Coal City, IL 60416-1337
Phone (630) 362-5777
Other providers in Coal City, IL
- Andrea Paradesi
- Amanda Patten
- Carollyn Pierard
- Pullara Family Dental Center
- Stephanie Ann Putman
- Margaret Ragain
- Redeeming Health at Lardi Clinic LLC
- Justine Louise Reents
- Cathleen Robinson
- N'Djamina Angelika Robinson
All providers in Coal City, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.