Individual provider Active NPI

Pamela Ann Jeremias, LLMSW

  • Social Worker
  • Auburn Hills, MI
National Provider Identifier
1194254029
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801108384 Issued in MI
Practice address
2399 Walton Blvd
Auburn Hills, MI 48326
Phone
(248) 451-2940
NPI assigned
Jun 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801108384 MI Primary

Addresses

Primary practice location

2399 Walton Blvd
Auburn Hills, MI 48326

Mailing address

16919 Mary Wood Dr
Macomb, MI 48042-2937
Phone (248) 912-7386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20250509002552 MI Practitioner - Clinical Social Worker 5698292811 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince May 2, 2025 Accepting new patients

Locations

22600 Hall Rd
Ste 201
Clinton Twp, MI 48036
Phone (586) 496-4503

13001 23 Mile Rd
Ste 103
Shelby Township, MI 48315
Phone (248) 602-2593

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1194254029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16919 MARY WOOD DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480422937",
            "telephone_number": "248-912-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2399 WALTON BLVD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "48326",
            "telephone_number": "248-451-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEREMIAS",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801108384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

Verify at the official NPI Registry.