Individual provider Active NPI

Pamela J Secondine, LMSW

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1609059419
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801067086 Issued in MI
Practice address
3190 Hallmark CT.
Saginaw, MI 48603-2100
Phone
(989) 790-3366
Fax
(989) 790-5027
NPI assigned
Dec 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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 6801067086 MI Primary

Addresses

Primary practice location

3190 Hallmark CT.
Saginaw, MI 48603-2100

Mailing address

510 Village W Apt D
Midland, MI 48642-9343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060327000505 MI Practitioner - Clinical Social Worker 0547278939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Michigan State University College of Human Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 NB Gratiot Ave
Mount Clemens, MI 48043-2301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801067086MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renewal Christian Counseling Inc Clinical CurrentSince May 29, 2019 Accepting new patients
Midland County Council on Aging Clinical PastSince Jan 9, 2008 Accepting new patients
Family & Childrens Services Mid-Michigan FCSM Past Accepting new patients

Locations

5816 Eastman Ave
Midland, MI 48640
Phone (989) 244-1888

100 Northbound Gratiot Ave
Ste A
Mount Clemens, MI 48043
Phone (586) 783-2950

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1609059419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 VILLAGE W APT D",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486429343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 HALLMARK CT.",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032100",
            "telephone_number": "989-790-3366",
            "fax_number": "989-790-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECONDINE",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801067086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.