Active NPI
Pamala Tatoya Love, PHDC, LCSW, TF-CBT
- Clinical Social Worker
- Salisbury, NC
National Provider Identifier
1396892055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C006040
- Practice address
- 1201 Forestdale Dr
Salisbury, NC 28144 - Phone
- (910) 541-9114
- Fax
- (336) 447-6112
- NPI assigned
- Jan 4, 2007
- Last updated
- Jan 19, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW006295 | GA | |
| Clinical Social Worker | 1041C0700X | C006040 | NC | Primary |
| Clinical Social Worker | 1041C0700X | SW21082 | FL |
Addresses
Primary practice location
1201 Forestdale Dr
Salisbury, NC 28144
Mailing address
9526 Argyle Forest Blvd
Ste B2, #602
Jacksonville, FL 32222
Phone (910) 248-9359
Other practice location 1
3653 Princeton Ave
College Park, GA 30337
Phone (404) 404-8034
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW21082 | Other | FL | BOARD OF CLINICAL SOCIAL WORK, MARRIAGE & FAMILY THERAPY AND MENTAL HEALTH COUNS |
| CSW006295 | Other | GA | BOARD OF PROFESSIONAL COUNSELORS, SOCIAL WORKERS, AND MARRIAGE & FAMILY THERAPIS |
| C006040 | Other | NC | NC SOCIAL WORK CERTIFICATION AND LICENSURE BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW21082 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- pamalalove@tdh.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1396892055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9526 ARGYLE FOREST BLVD",
"address_2": "STE B2, #602",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32222",
"telephone_number": "910-248-9359",
"fax_number": "980-338-8519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 FORESTDALE DR",
"city": "SALISBURY",
"state": "NC",
"postal_code": "28144",
"telephone_number": "910-541-9114",
"fax_number": "336-447-6112"
}
],
"practiceLocations": [
{
"address_1": "3653 Princeton Ave",
"address_purpose": "LOCATION",
"city": "College Park",
"state": "GA",
"postal_code": "30337",
"country_code": "US",
"telephone_number": "404-404-8034",
"fax_number": "980-338-8519",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOVE",
"first_name": "PAMALA",
"middle_name": "TATOYA",
"name_prefix": "Ms.",
"credential": "PHDC, LCSW, TF-CBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW006295",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006040",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW21082",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CLINICAL SOCIAL WORK, MARRIAGE & FAMILY THERAPY AND MENTAL HEALTH COUNS",
"identifier": "SW21082",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PROFESSIONAL COUNSELORS, SOCIAL WORKERS, AND MARRIAGE & FAMILY THERAPIS",
"identifier": "CSW006295",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC SOCIAL WORK CERTIFICATION AND LICENSURE BOARD",
"identifier": "C006040",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.