Pamela Renee Wells, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19100 Issued in MD

Practice address

9500 Medical Center Dr
Largo, MD 20774-3701

Phone

(301) 276-2606

Fax

(240) 823-9331

NPI assigned

Apr 7, 2021

Last updated

Apr 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1306425160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 BENTWOOD DR",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444801",
            "telephone_number": "202-604-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MEDICAL CENTER DR",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207743701",
            "telephone_number": "301-276-2606",
            "fax_number": "240-823-9331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 Bentwood Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "207444801",
            "country_code": "US",
            "telephone_number": "202-604-0838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "PAMELA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pwells@tcm1.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9500 Medical Center Dr",
            "city": "Largo",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207743701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher Mark Wanka
• Zena Y Warren, OTR/L
• Washington Cardiovascular Institute LLC
• Washington Oral Surgery Center, LLC (Woodview Oral Surgery)
• Joan Weill, LCSW-C
• Warren Wells
• Cristina Frances Whalen, PHARM.D.
• Ronald C Wheeler, MD
• Labretia A White, LGSW
• Lisa Wilks, M.A., LPC, LCPC

• Clinical Social Worker in Largo, MD
• Providers in Largo, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.