Pamela Libys

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C11048 Issued in MS

Practice address

4013 Beatline Rd Ste a
Long Beach, MS 39560-4135

Phone

(228) 200-0720

NPI assigned

Jun 4, 2024

Last updated

Jun 4, 2024By the provider in NPPES

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 names 1

• Pamela Ansel Libys Other name

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Safe Harbor Clinic LLCGroup PAC ID 1759615693, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Safe Harbor Clinic LLC

  • Psychiatry Physician
  • Long Beach, MS
  • NPI 1699242891
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1346081346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24654 OAK ISLAND DR",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395718142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 BEATLINE RD STE A",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604135",
            "telephone_number": "228-200-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBYS",
        "first_name": "PAMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C11048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "LIBYS",
            "middle_name": "ANSEL",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie Ladner, NP
• Beth Lamey, LCSW
• Chelsea Landwehr, LCSW
• Arlin W Lang, LPC
• George Louis Leonard, M.D.
• Long Beach Drugs LLC (Long Beach Pharmacy)
• Long Beach Drugs, LLC (Long Beach Drugs)
• Long Beach Physical Therapy, LLC
• Long Beach Precision Vision LLC (Precision Vision)
• Amber Lynn Lowe, LMSW

• Clinical Social Worker in Long Beach, MS
• Providers in Long Beach, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.