Active NPI
Pamela Rodman, LCSW
- Clinical Social Worker
- Westport, CT
National Provider Identifier
1386342525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 012601
- Practice address
- 49A Old Hill Rd
Westport, CT 06880-2340 - Phone
- (516) 410-0957
- NPI assigned
- Feb 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 012601 | CT | Primary |
Addresses
Primary practice location
49A Old Hill Rd
Westport, CT 06880-2340
Mailing address
49A Old Hill Rd
Westport, CT 06880-2340
Phone (516) 410-0957
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230824000438 | CT | Practitioner - Clinical Social Worker | 1759744790 | Practice locations: New Canaan, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
208 Valley Rd
New Canaan, CT 06840-3812
Phone (516) 410-0957
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012601 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1386342525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49A OLD HILL RD",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068802340",
"telephone_number": "516-410-0957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49A OLD HILL RD",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068802340",
"telephone_number": "516-410-0957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODMAN",
"first_name": "PAMELA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-17",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "012601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.