Active NPI
Pamela Warren, PH.D., LCSW, LISW, M
- Clinical Social Worker
- Orange, VA
National Provider Identifier
1174757488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I000832
- Practice address
- 311 N. Madison Rd.
Orange, VA 22960 - Phone
- (540) 661-3465
- Fax
- (540) 672-1196
- NPI assigned
- May 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I000832 | OH | Primary |
| Clinical Social Worker | 1041C0700X | 0904007156 | VA |
Addresses
Primary practice location
311 N. Madison Rd.
Orange, VA 22960
Mailing address
311 N. Madison Rd.
Orange, VA 22960
Phone (540) 661-3465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4945361 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I000832 | OH | MD | Clinical Social Worker |
| 0904007156 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rappahannock Rapidan CSB | Past | Accepting new patients | |
| Art 2 Heart Therapy | Clinical | Past | Accepting new patients |
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.
-
- Early Intervention Provider Agency
- Culpeper, VA
- NPI 1750504833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310515200000",
"number": "1174757488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 N. MADISON RD.",
"city": "ORANGE",
"state": "VA",
"postal_code": "22960",
"telephone_number": "540-661-3465",
"fax_number": "540-829-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N. MADISON RD.",
"city": "ORANGE",
"state": "VA",
"postal_code": "22960",
"telephone_number": "540-661-3465",
"fax_number": "540-672-1196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "PAMELA",
"name_prefix": "Dr.",
"credential": "PH.D., LCSW, LISW, M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-14",
"last_updated": "2011-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I000832",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904007156",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4945361",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orange, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.