Individual provider Active NPI

Pamela Roberts Joyner

  • Clinical Social Worker
  • Chesapeake, VA
National Provider Identifier
1194421529
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904015830 Issued in VA
Practice address
1545 Crossways Blvd Ste 205
Chesapeake, VA 23320-0205
Phone
(757) 800-3591
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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 0904015830 VA Primary

Addresses

Primary practice location

1545 Crossways Blvd Ste 205
Chesapeake, VA 23320-0205

Mailing address

4332 Hillingdon BND Apt 102
Chesapeake, VA 23321-2479
Phone (757) 800-3591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20231128003058 VA Practitioner - Clinical Social Worker 0042668204 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904015830VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Total Wellness Center LLC Clinical CurrentSince Oct 8, 2023 Accepting new patients
Rhodium Care Group Inc CurrentSince Nov 1, 2023 Accepting new patients

Locations

8830 Virginia St
Amelia Ct Hse, VA 23002
Phone (804) 561-5611

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.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1194421529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 HILLINGDON BND APT 102",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212479",
            "telephone_number": "757-800-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 CROSSWAYS BLVD STE 205",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200205",
            "telephone_number": "757-800-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYNER",
        "first_name": "PAMELA",
        "middle_name": "ROBERTS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-10-06",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.