Individual provider Active NPI

Pamela McLane, LICSW

  • Clinical Social Worker
  • Mashpee, MA
National Provider Identifier
1194805218
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111000 Issued in MA
Practice address
133 Falmouth Rd
Suite F
Mashpee, MA 02649-2611
Phone
(508) 477-7499
Fax
(507) 477-2499
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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 111000 MA Primary

Addresses

Primary practice location

133 Falmouth Rd
Suite F
Mashpee, MA 02649-2611

Mailing address

133 Falmouth Rd
Suite F
Mashpee, MA 02649-2611
Phone (508) 477-7499

Other names 1

  • Pamela Alexander Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051012000743 MA Practitioner - Clinical Social Worker 3577588136 Practice locations: Mashpee, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa White Pmhnp LLC PastSince Mar 17, 2024 Accepting new patients
Pat Vasconcellos 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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1194805218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 FALMOUTH RD",
            "address_2": "SUITE F",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026492611",
            "telephone_number": "508-477-7499",
            "fax_number": "508-477-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 FALMOUTH RD",
            "address_2": "SUITE F",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026492611",
            "telephone_number": "508-477-7499",
            "fax_number": "507-477-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLANE",
        "first_name": "PAMELA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "ALEXANDER",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mashpee, MA

Sources for this page

Verify at the official NPI Registry.