Individual provider Active NPI

Pamela Ann Pucci, LCSW

  • Clinical Social Worker
  • Norwich, NY
National Provider Identifier
1326296344
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092398-01 Issued in NY
Practice address
5 Court St
Suite 42, County Office Building
Norwich, NY 13815-1695
Phone
(607) 337-1602
Fax
(607) 334-4519
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 092398-01 NY Primary

Addresses

Primary practice location

5 Court St
Suite 42, County Office Building
Norwich, NY 13815-1695

Mailing address

PO Box 73
New Woodstock, NY 13122-0073
Phone (607) 244-9712

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
I20220124001264 NY Practitioner - Clinical Social Worker 6002208113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of ChenangoGroup PAC ID 5597658344, 12 clinicians

Practice addresses (Care Compare)

5 Court St
Suite 42
Norwich, NY 13815-1695
Phone (607) 337-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092398-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chenango County County Treasurer CurrentSince Nov 22, 2021 Accepting new patients
County of Chenango CurrentSince Nov 22, 2021 Accepting new patients
Pucci LCSW, PLLC Current Accepting new patients

Locations

5 Court St
Ste 42
Norwich, NY 13815
Phone (607) 337-1600

Interoperability endpoints

  • Direct secure messaging: ppucci@ccbhs.medentdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1326296344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73",
            "city": "NEW WOODSTOCK",
            "state": "NY",
            "postal_code": "131220073",
            "telephone_number": "607-244-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COURT ST",
            "address_2": "SUITE 42, COUNTY OFFICE BUILDING",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151695",
            "telephone_number": "607-337-1602",
            "fax_number": "607-334-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCCI",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092398-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, NY

Sources for this page

Verify at the official NPI Registry.