Active NPI
Pamela N Rademacher, LCSW
- Clinical Social Worker
- Glen Head, NY
National Provider Identifier
1295893600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R0515571
- Practice address
- 17 Greely Square
Glen Head, NY 11545-1516 - Phone
- (516) 676-8692
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R0515571 | NY | Primary |
Addresses
Primary practice location
17 Greely Square
Glen Head, NY 11545-1516
Mailing address
17 Greely Square
Glen Head, NY 11545-1516
Phone (516) 676-8692
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07538 | Other | NY | MC GHI |
| N343T2 | Other | NY | BC BS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0515571 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Cerebral Palsy Assoc of Nys Inc. | Past | Accepting new patients | |
| Karat Health, Inc. | Past | Accepting new patients | |
| Samuel Field Ym&Ywha | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Behavioral Neurology & Neuropsychiatry Physician
- Long Island City, NY
- NPI 1093228801
-
- Adult Mental Health Clinic/Center
- Little Neck, NY
- NPI 1205862950
-
- Clinic/Center
- Woodside, NY
- NPI 1255496642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295893600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 GREELY SQUARE",
"city": "GLEN HEAD",
"state": "NY",
"postal_code": "115451516",
"telephone_number": "516-676-8692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 GREELY SQUARE",
"city": "GLEN HEAD",
"state": "NY",
"postal_code": "115451516",
"telephone_number": "516-676-8692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADEMACHER",
"first_name": "PAMELA",
"middle_name": "N",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R0515571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC GHI",
"identifier": "07538",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "N343T2",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Head, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.