Active NPI
Pamela R McNealy, MSW
- Social Worker
- Milwaukee, WI
National Provider Identifier
1467768598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1673-121
- Practice address
- 5501 W Burleigh St
Milwaukee, WI 53210-1548 - Phone
- (414) 763-1868
- Fax
- (414) 763-5155
- NPI assigned
- Aug 26, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11725-131 | WI | |
| Social Worker | 104100000X | 1673-121 | WI | Primary |
Addresses
Primary practice location
5501 W Burleigh St
Milwaukee, WI 53210-1548
Mailing address
6123 W Lincoln Creek Dr
Milwaukee, WI 53218-4939
Phone (414) 536-4206
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11725-131 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 1673-121 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1467768598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6123 W LINCOLN CREEK DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532184939",
"telephone_number": "414-536-4206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 W BURLEIGH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532101548",
"telephone_number": "414-763-1868",
"fax_number": "414-763-5155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEALY",
"first_name": "PAMELA",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-26",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "11725-131",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "1673-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.