Pamela Pierce, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW19571 Issued in FL

Practice address

6135 Brickhill CT
Crestview, FL 32536-4395

Phone

(208) 914-8161

NPI assigned

Jul 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Pamela Pierce LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Crestview, FL
  • NPI 1588398911
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1174256390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 BRICKHILL CT",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325364395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 BRICKHILL CT",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325364395",
            "telephone_number": "208-914-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "PAMELA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Stewart Peters, D.O.
• Abbie Petrey
• Julie Ann Petrushak
• PHC-Crestview Inc
• Esther Mae Phelps, LMHC
• Elizabeth Rita Pixley, MA, NCC, LMHC, LPC
• Isaac Henry Plummer Jr.
• Stacey Ann Poole, DNP, RN, PMHNP-BC
• Heather Powell, LCSW
• Suzie Ann Powers

• Clinical Social Worker in Crestview, FL
• Providers in Crestview, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.