Pamela M Middleton, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5153 Issued in KS

Practice address

1819 11TH St
Great Bend, KS 67530-4511

Phone

(785) 483-9183

NPI assigned

Jun 27, 2016

Last updated

Sep 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Pamela M Leiker Former name

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Evergreen Therapy Services-LLC

  • Clinical Social Worker
  • Great Bend, KS
  • NPI 1720656135
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1457702912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 11TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304511",
            "telephone_number": "785-483-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 11TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304511",
            "telephone_number": "785-483-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "PAMELA",
        "middle_name": "M",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "5153",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "5153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "LEIKER",
            "middle_name": "M",
            "credential": "LSCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela D Meitner, COTA
• Shannon Michael Merhoff
• Jami Ann Merlau, MS, CCC-SLP
• Patricia Willene Mermis, APRN
• Peter Mick, NP-C
• Darci Leigh Miller
• David Miller, LPC
• Nicole Renee Miller, O.D.
• Mindful Healing Solutions LLC
• Taryn Mitchell, PHARMD

• Clinical Social Worker in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.

Verify at the official NPI Registry.