Individual provider Active NPI

Pamela D Stearn

  • Clinical Social Worker
  • Newark, DE
National Provider Identifier
1194877407
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
24 Brookhill Dr
Newark, DE 19702-1301
Phone
(302) 454-3020
Fax
(302) 454-0298
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 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 Primary

Addresses

Primary practice location

24 Brookhill Dr
Newark, DE 19702-1301

Mailing address

24 Brookhill Dr
Newark, DE 19702-1301
Phone (302) 454-3020

Other identifiers 1

IdentifierTypeStateIssuer
100024635MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20141112001525 DE Practitioner - Clinical Social Worker 4183846827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological Services P.a.Group PAC ID 1557690351, 7 clinicians

Practice addresses (Care Compare)

850 Library Ave
Suite 104
Newark, DE 19711-7170
Phone (215) 764-2403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Services of Delaware Clinical CurrentSince Mar 15, 2016 Accepting new patients
Psychological Services P.a. CurrentSince Jun 15, 2020 Accepting new patients

Locations

850 Library Ave
Ste 104
Newark, DE 19711
Phone (215) 764-2403

99 Passmore Rd
Wilmington, DE 19803
Phone (302) 478-9411

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1194877407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BROOKHILL DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021301",
            "telephone_number": "302-454-3020",
            "fax_number": "302-454-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BROOKHILL DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021301",
            "telephone_number": "302-454-3020",
            "fax_number": "302-454-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEARN",
        "first_name": "PAMELA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100024635",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.