Organization Active NPI

Pamela D Siemon LCSW LLC

  • Clinical Social Worker
  • Watertown, CT
National Provider Identifier
1558859637
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
009745 Issued in CT
Legal business name
PAMELA D SIEMON LCSW LLC
Practice address
51 Depot St Ste 207
Watertown, CT 06795-2667
Phone
(860) 806-2653
NPI assigned
Apr 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Authorized official

Name
Pamela D Siemon, LCSW
Title
Licensed Clinical Social Worker
Phone
(203) 232-8009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 009745 CT Primary

Addresses

Primary practice location

51 Depot St Ste 207
Watertown, CT 06795-2667

Mailing address

200 Quassuk Rd
Woodbury, CT 06798-2013
Phone (203) 232-8009

Other practice location 1

89 Old Mamaroneck Rd
White Plains, NY 10605-1903
Phone (203) 232-8009

National Provider Directory

National Provider Directory

Locations

555 Heritage Rd
Southbury, CT 06488
Phone (203) 232-8009

89 Old Mamaroneck Rd
White Plains, NY 10605
Phone (203) 232-8009

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1558859637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 QUASSUK RD",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067982013",
            "telephone_number": "203-232-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 DEPOT ST STE 207",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952667",
            "telephone_number": "860-806-2653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 Old Mamaroneck Rd",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106051903",
            "country_code": "US",
            "telephone_number": "203-232-8009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAMELA D SIEMON LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "SIEMON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "203-232-8009",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.