Active NPI
Pamela Dudek, LCSW-C
- Social Worker
- Red Lion, PA
National Provider Identifier
1215224142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CW018977
- Practice address
- 160 Bahns Mill Rd.
Red Lion, PA 17356 - Phone
- (410) 627-0780
- Fax
- (410) 744-4203
- NPI assigned
- Jun 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 08434 | MD | |
| Clinical Social Worker | 1041C0700X | 08434 | MD | |
| Social Worker | 104100000X | CW018977 | PA | Primary |
Addresses
Primary practice location
160 Bahns Mill Rd.
Red Lion, PA 17356
Mailing address
1320 Bernoudy Road
White Hall, MD 21161
Phone (410) 627-0780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW018977 | PA | MD | Social Worker |
| 08434 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1215224142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 BERNOUDY ROAD",
"city": "WHITE HALL",
"state": "MD",
"postal_code": "21161",
"telephone_number": "410-627-0780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 BAHNS MILL RD.",
"city": "RED LION",
"state": "PA",
"postal_code": "17356",
"telephone_number": "410-627-0780",
"fax_number": "410-744-4203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDEK",
"first_name": "PAMELA",
"name_prefix": "Mrs.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "08434",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "08434",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "CW018977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Lion, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.