Pamela Jeanne Hyatt, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18614 Issued in MN

Practice address

4150 Olson Memorial Hwy Ste 420
Golden Valley, MN 55422-4849

Phone

(866) 522-2472

Fax

(763) 717-8049

NPI assigned

Jun 20, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Birch Counseling, PLLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minnetonka, MN
  • NPI 1598186330
  NPD

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1629239850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 10TH AVE S STE 212",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553439481",
            "fax_number": "763-581-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 OLSON MEMORIAL HWY STE 420",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224849",
            "telephone_number": "866-522-2472",
            "fax_number": "763-717-8049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Olson Memorial Hwy Ste 420",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "554224849",
            "country_code": "US",
            "telephone_number": "866-522-2472",
            "fax_number": "763-717-8049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32 10th Ave S Ste 212",
            "address_purpose": "LOCATION",
            "city": "Hopkins",
            "state": "MN",
            "postal_code": "553439481",
            "country_code": "US",
            "telephone_number": "866-522-2472",
            "fax_number": "763-717-8049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYATT",
        "first_name": "PAMELA",
        "middle_name": "JEANNE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FM",
            "license": "18614",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Hurley, PT
• Mohamud Abdullahi Hussein
• Mark Huttemier, LPP
• Ellie Huynh, M.D.
• Lucy Thuy-VI Huynh
• Farhiyo Idifle
• Iflooring LLC
• Clara C Iheanacho, PHARMD
• Natalie Ikeman, PA-C
• In Home Personal Care Home Health Inc

• Clinical Social Worker in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.