Pamela Shockley

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0001142 Issued in DE

Practice address

121 W Loockerman St
Dover, DE 19904-7325

Phone

(302) 674-1397

NPI assigned

Oct 16, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Pamela Shockley, LLC

  • Clinical Social Worker
  • Frederica, DE
  • NPI 1669159737
  NPD Authorized official
• A Center for Mental Wellness, Inc.

  • Mental Health Counselor
  • Dover, DE
  • NPI 1639325822
  NPD

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1558614503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HUDSON BRANCH DR",
            "city": "FREDERICA",
            "state": "DE",
            "postal_code": "199461857",
            "telephone_number": "302-270-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W LOOCKERMAN ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047325",
            "telephone_number": "302-674-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "PAMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Scott Shipley, NBC-HIS
• Sydney Joanne Shirlow, CCC-SLP
• Tiffany Nichole Shivock, NP
• Bobby W Shockley
• Lindsay R Shockley, RBT
• Donna Marie Short, R.PH.
• Sarah Christine Shotwell
• Megan Marie Shoup, MA CCC-SLP
• Laurie M Shrader
• Shrinkmd Health Inc.

• Clinical Social Worker in Dover, DE
• Providers in Dover, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.