Individual provider Active NPI

Pamela Farrar McGeorge, LCSW

  • Clinical Social Worker
  • Corbin, KY
National Provider Identifier
1184841173
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
909 Issued in KY
Practice address
1203 American Greeting Card Rd
Corbin, KY 40701-4811
Phone
(606) 528-7010
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 909 KY Primary

Addresses

Primary practice location

1203 American Greeting Card Rd
Corbin, KY 40701-4811

Mailing address

PO Box 568
Corbin, KY 40702-0568

Other identifiers 1

IdentifierTypeStateIssuer
7100275420MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20100910000937 KY Practitioner - Clinical Social Worker 8123143310 Reassigns benefits to 1 organization
Practice locations: Whitesburg, KY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland River Behavioral Health, Inc CurrentSince Jun 29, 1998 Accepting new patients

Locations

704 Pitzer St
Barbourville, KY 40906
Phone (606) 546-3104

610 American Greeting Card Rd
Corbin, KY 40701
Phone (606) 526-9552

134 Comprehensive Dr
Harlan, KY 40831
Phone (606) 573-1624

349 Riverbend Rd
London, KY 40744
Phone (606) 878-7013

915 N Laurel Rd
London, KY 40741
Phone (606) 864-2104

565 Muddy Gap Rd
Manchester, KY 40962
Phone (606) 598-5172

1348 Highway 421 N
McKee, KY 40447
Phone (606) 287-7137

324 N 19th St
Middlesboro, KY 40965
Phone (606) 248-4949

215 W Tennessee Ave
Pineville, KY 40977
Phone (606) 337-6137

285 Cemetery Rd
Williamsburg, KY 40769
Phone (606) 549-1440

Organizations & group practices 1

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1184841173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407020568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 AMERICAN GREETING CARD RD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407014811",
            "telephone_number": "606-528-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEORGE",
        "first_name": "PAMELA",
        "middle_name": "FARRAR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100275420",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.