Organization Active NPI

Pamela Houck, LMSW, LLC

  • Clinical Social Worker
  • Allen Park, MI
National Provider Identifier
1376802009
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801060662 Issued in MI
Legal business name
PAMELA HOUCK, LMSW, LLC
Practice address
9020 Manor
Allen Park, MI 48101-3435
Phone
(313) 382-8851
NPI assigned
May 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Mrs. Pamela Houck, LMSWNPI 1265655955
Title
Owner
Phone
(313) 382-8851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801060662 MI Primary

Addresses

Primary practice location

9020 Manor
Allen Park, MI 48101-3435

Mailing address

9020 Manor Ave
Allen Park, MI 48101-3435
Phone (313) 382-8851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120810000756 MI Part B Supplier - Clinic/Group Practice 5092961748 Receives reassigned benefits from 1 practitioner
Practice locations: Allen Park, MI

National Provider Directory

National Provider Directory

Locations

7000 Roosevelt Ave
Ste 204
Allen Park, MI 48101
Phone (313) 550-3446

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1376802009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 MANOR AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481013435",
            "telephone_number": "313-382-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 MANOR",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481013435",
            "telephone_number": "313-382-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA HOUCK, LMSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "HOUCK",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-382-8851",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801060662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.