Individual provider Active NPI

Pamela Jean Whitlock

  • Clinical Social Worker
  • Haverhill, MA
National Provider Identifier
1205170503
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117004 Issued in MA
Practice address
116 Summer St
Haverhill, MA 01830-6032
Phone
(978) 373-7010
NPI assigned
Nov 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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 117004 MA Primary

Addresses

Primary practice location

116 Summer St
Haverhill, MA 01830-6032

Mailing address

171 High Rd
Newbury, MA 01951-2211

Other practice location 1

480 Maple St Ste 201
Danvers, MA 01923-4065
Phone (978) 646-7070

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
I20130226000199 MA Practitioner - Clinical Social Worker 8022263904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

171 High Rd
Newbury, MA 01951-2211

27 Randolph Rd
Unit a
Howell, NJ 07731-8611

367 S Gulph Rd
King of Prussia, PA 19406-3121

41 Mall Rd
Burlington, MA 01805-0001

5730 Executive Dr
Suite 230
Catonsville, MD 21228-1762

66 E Flagler St
Miami, FL 33130-1807

701 Edgewater Dr
Suite 420
Wakefield, MA 01880-6243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erickson Health Medical Group of Massachusetts PC CurrentSince Jul 10, 2024 Accepting new patients
Erickson Health Medical Group of Massachusetts PC CurrentSince Jul 10, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 20, 2024 Accepting new patients
Supportive Behavioral Care of Ma LLC CurrentSince Apr 19, 2023 Accepting new patients

Locations

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

300 Linden Ponds Way
Hingham, MA 02043
Phone (781) 534-7100

100 Brooksby Village Dr
Peabody, MA 01960
Phone (978) 536-2150

5730 Executive Dr
Ste 230
Catonsville, MD 21228
Phone (410) 402-2379

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 4

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": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1205170503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 HIGH RD",
            "city": "NEWBURY",
            "state": "MA",
            "postal_code": "019512211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SUMMER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306032",
            "telephone_number": "978-373-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Maple St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Danvers",
            "state": "MA",
            "postal_code": "019234065",
            "country_code": "US",
            "telephone_number": "978-646-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

Verify at the official NPI Registry.