Individual provider Active NPI

Pamela J Llewellyn, LCSW-C

  • Clinical Social Worker
  • Bel Air, MD
National Provider Identifier
1619230539
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17769 Issued in MD
Practice address
902 Shelburne Rd
Bel Air, MD 21015-6346
Phone
(410) 210-4836
NPI assigned
Jun 18, 2012
Last updated
Jan 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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 17769 MD Primary

Addresses

Primary practice location

902 Shelburne Rd
Bel Air, MD 21015-6346

Mailing address

902 Shelburne Rd
Bel Air, MD 21015-6346
Phone (410) 210-4836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20160120000889 MD Practitioner - Clinical Social Worker 4385947654 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hopeway Group LLCGroup PAC ID 5294175642, 3 clinicians

Practice addresses (Care Compare)

212 Archer St
Suite a
Bel Air, MD 21014-3684
Phone (443) 729-0050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17769MDMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital of Cecil County CurrentSince Jan 11, 2016 Accepting new patients
Safe Harbor Community Services CurrentSince Apr 1, 2021 Accepting new patients
Harford Crisis Center, Inc. CurrentSince Mar 1, 2019 Accepting new patients
Hope Union Counseling LLC Current Accepting new patients
Hope Union Counseling LLC CurrentSince Feb 25, 2024 Accepting new patients

Locations

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

212 Archer St
Ste A
Bel Air, MD 21014
Phone (443) 729-0050

2227 Old Emmorton Rd
Ste 115
Bel Air, MD 21015
Phone (410) 589-0999

802 Baltimore Pike
#A
Bel Air, MD 21014
Phone (443) 643-2422

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

210 Chesapeake Blvd
Elkton, MD 21921

327 Curtis Ave
Elkton, MD 21921
Phone (410) 836-0131

Organizations & group practices 5

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": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1619230539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 SHELBURNE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156346",
            "telephone_number": "410-210-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 SHELBURNE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156346",
            "telephone_number": "410-210-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLEWELLYN",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.