Individual provider Active NPI

Pamela Martha Brown, L.C.S.W.

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1598904401
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 6769 Issued in FL
Practice address
20889 Hamaca CT
Boca Raton, FL 33433-2720
Phone
(561) 703-0976
Fax
(561) 483-2244
NPI assigned
Feb 17, 2009
Last updated
Nov 6, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 6769 FL Primary

Addresses

Primary practice location

20889 Hamaca CT
Boca Raton, FL 33433-2720

Mailing address

1300 N Federal Hwy
Suite 103 Room C
Boca Raton, FL 33432-2801
Phone (561) 703-0976

Other identifiers 1

IdentifierTypeStateIssuer
SW 6769OtherFLFLORIDA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20110412000148 FL Practitioner - Clinical Social Worker 7618151911 Practice locations: Boca Raton, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21301 Powerline Rd
Suite 304
Boca Raton, FL 33433-2391
Phone (561) 703-0976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 6769FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pam Brown Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1598904401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N FEDERAL HWY",
            "address_2": "SUITE 103 ROOM C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322801",
            "telephone_number": "561-703-0976",
            "fax_number": "561-483-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20889 HAMACA CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332720",
            "telephone_number": "561-703-0976",
            "fax_number": "561-483-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PAMELA",
        "middle_name": "MARTHA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 6769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "SW 6769",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.