Pamela Colette Neal, LICSW, LCSW-C, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21179 Issued in MD

Practice address

6500 Lake Park Dr
Suite 201
Greenbelt, MD 20770-7000

Phone

(240) 424-0078

NPI assigned

Feb 3, 2011

Reactivated

Jul 8, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Safe Harbor Behavioral Care, LLC

  • Clinical Social Worker
  • Bel Air, MD
  • NPI 1316487879
  NPD (past)

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1386940617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 LAKE PARK DR",
            "address_2": "SUITE 201",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207707000",
            "telephone_number": "301-613-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 LAKE PARK DR",
            "address_2": "SUITE 201",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207707000",
            "telephone_number": "240-424-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "PAMELA",
        "middle_name": "COLETTE",
        "credential": "LICSW, LCSW-C, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2015-09-17",
        "deactivation_date": "2013-02-20",
        "reactivation_date": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078983",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21179",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007685",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victorine P Ndiformutieh
• Eko Ndive
• Brenda Ndonthio
• Patience Grace Nduka, PT
• Lawrence Nsotaka Ndze
• Emile Neba
• Solange Nebopoulet Epse Koungou
• Meron Nega
• Keisha L Nelson
• Mayah Nembo Wuta Mboma

• Clinical Social Worker in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.