Pamela Connelly-Castle, BA/BS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2180 E Mowrey Rd
Columbia City, IN 46725-7611

Phone

(260) 705-7513

NPI assigned

Nov 3, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pamela Connelly-Castle Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Bachelor of Science

Practice roles

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.

• Ride With Faith, Inc

  • Voluntary or Charitable Agency
  • Columbia City, IN
  • NPI 1033514039
  NPD Authorized official

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1235534231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 E MOWREY RD",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467257611",
            "telephone_number": "260-705-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 E MOWREY RD",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467257611",
            "telephone_number": "260-705-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY-CASTLE",
        "first_name": "PAMELA",
        "credential": "BA/BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LPI",
            "identifier": "201037870A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "CONNELLY-CASTLE",
            "credential": "BA/BS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Timothy R Chamberlain, M.D.
• Dimpal Chaudhari, PHARMD
• Alan J Christenberry
• Kristin Lynn Collins, DPT
• Columbia City Optometry, P.C.
• Emma Conrad, LMHCA
• Alisha Copp
• Mary Corkwell
• Ann Marie Coronato, COTA
• Rebecca Leigh Corpuz

• All providers in Columbia City, IN
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.