Active NPI
Pamela D Siemon LCSW LLC
- Clinical Social Worker
- Watertown, CT
National Provider Identifier
1558859637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 009745
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.
-
- Psychiatry Physician
- White Plains, NY
- NPI 1457432353
-
- Adult Development & Aging Psychologist
- White Plains, NY
- NPI 1346376514
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.