Pamela Kay Mills, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I 0800054 Issued in OH

Practice address

12968 Hardin Pike
Wapakoneta, OH 45895-8323

Phone

(419) 738-7773

NPI assigned

Mar 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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.

• PKM: Life Transitions

  • Clinical Social Worker
  • Wapakoneta, OH
  • NPI 1447488242
  NPD (past) Authorized official

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

{
    "created_epoch": "1205020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1497925168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12968 HARDIN PIKE",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458958323",
            "telephone_number": "419-738-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12968 HARDIN PIKE",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458958323",
            "telephone_number": "419-738-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "PAMELA",
        "middle_name": "KAY",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-09",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 0800054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2940250",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tristan David Meyer, DDS
• Donald James Miller
• Lauren Marie Miller, PTA
• Megan E Miller, AU.D
• Peggy Kaye Miller, OTR/L
• Kellye Moore-Texter, PA-C
• Marianne Morrisey
• Kimberly Mortimer
• Joseph E Mosler, PHARMACIST
• Michelle Mosler

• Clinical Social Worker in Wapakoneta, OH
• Providers in Wapakoneta, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.