Individual provider Active NPI

Pamela Vega Watler

  • Clinical Social Worker
  • Middletown, NY
National Provider Identifier
1346711751
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
095544-01 Issued in NY
Practice address
766 Manning Rd
Middletown, NY 10940-7305
Phone
(347) 510-6587
NPI assigned
Dec 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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 095544-01 NY Primary

Addresses

Primary practice location

766 Manning Rd
Middletown, NY 10940-7305

Mailing address

766 Manning Rd
Middletown, NY 10940-7305
Phone (347) 510-6587

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
I20230622002134 NY Practitioner - Clinical Social Worker 4981062916 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brooklyn Psychotherapy LCSW Services PCGroup PAC ID 5991031833, 2 clinicians

Practice addresses (Care Compare)

111 Dahlgren PL
BSMT
Brooklyn, NY 11228-3693
Phone (718) 745-4288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097698-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychotherapy and Behavioral Health Services LCSW PC Clinical CurrentSince Jun 27, 2024 Accepting new patients
Brooklyn Psychotherapy LCSW Services PC Clinical CurrentSince Jun 1, 2023 Accepting new patients

Locations

2810 Steinway St
Astoria, NY 11103
Phone (718) 225-2244

2001 37th St
Astoria, NY 11105
Phone (347) 657-0877

111 Dahlgren Pl
Bsmt
Brooklyn, NY 11228
Phone (718) 437-5570

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": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1346711751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 MANNING RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109407305",
            "telephone_number": "347-510-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 MANNING RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109407305",
            "telephone_number": "347-510-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA WATLER",
        "first_name": "PAMELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095544-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.