Pamela Wollet, LCSW LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PAMELA WOLLET, LCSW LLC

Practice address

1000 Commerce Park Drive, Suite 307
Williamsport, PA 17701-5474

Phone

(570) 220-6270

Fax

(272) 202-5097

NPI assigned

May 19, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela Wollet Wollet, LCSW

Title

Licensed Clinical Social Worker

Phone

(570) 220-6270

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Integrative Counseling and Wellness, LLC Doing business as
• Pamela Wollet, LCSW Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela R Wollet, LCSW

  • Clinical Social Worker
  • Williamsport, PA
  • NPI 1710116884
  NPD

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1376280362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 FLUMAN ROAD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177018588",
            "telephone_number": "570-220-6270",
            "fax_number": "272-202-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COMMERCE PARK DRIVE, SUITE 307",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015474",
            "telephone_number": "570-220-6270",
            "fax_number": "272-202-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA WOLLET, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "WOLLET",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "WOLLET",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "570-220-6270",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034909730002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Counseling and Wellness, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pamela Wollet, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy James Pagana, MD
• William Joseph Pagana, MD
• Airneezer Paige-Delahaye, PTA
• Pain Management of Williamsport, LLC
• Melissa Palski
• Jennifer Panaccio
• Melissa Ann Pandolfi, PA
• Sunil Parkash, MD
• A David Parks, D.M.D.
• Shanie Parks

• Mental Health Clinic/Center (Including Community Mental Health Center) in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.