Individual provider Active NPI

Pamela Ann Stramiello, LCSW

  • Clinical Social Worker
  • Pelham, NY
National Provider Identifier
1285709170
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R-029161 Issued in NY
Practice address
212 Ancon Avenue
Pelham, NY 10803-2019
Phone
(914) 738-2369
Fax
(914) 712-3779
NPI assigned
Nov 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R029161 NY
Clinical Social Worker 1041C0700X R-029161 NY Primary

Addresses

Primary practice location

212 Ancon Avenue
Pelham, NY 10803-2019

Mailing address

212 Ancon Avenue
Pelham, NY 10803-2019
Phone (914) 738-2369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050707000752 NY Practitioner - Clinical Social Worker 1456397850 Practice locations: Pelham, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

212 Ancon Ave
Pelham, NY 10803-2019
Phone (914) 738-2369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R-029161NYMDClinical Social Worker
R029161NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1285709170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 ANCON AVENUE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108032019",
            "telephone_number": "914-738-2369",
            "fax_number": "914-712-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 ANCON AVENUE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108032019",
            "telephone_number": "914-738-2369",
            "fax_number": "914-712-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAMIELLO",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R029161",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-029161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, NY

Sources for this page

Verify at the official NPI Registry.