Active NPI
Pamela Taylor, LCSW
- Mental Health Counselor
- Fort Sill, OK
National Provider Identifier
1639306186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4303 Pitman St
Fort Sill, OK 73503-4473 - Phone
- (405) 403-8513
- Fax
- (405) 456-7572
- NPI assigned
- Jun 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5872-C | AR | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4303 Pitman St
Fort Sill, OK 73503-4473
Mailing address
4303 Pitman St
Fort Sill, OK 73503-4473
Phone (405) 403-8513
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116378726 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5872-C | AR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1639306186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4303 PITMAN ST",
"city": "FORT SILL",
"state": "OK",
"postal_code": "735034473",
"telephone_number": "405-403-8513",
"fax_number": "405-456-7572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4303 PITMAN ST",
"city": "FORT SILL",
"state": "OK",
"postal_code": "735034473",
"telephone_number": "405-403-8513",
"fax_number": "405-456-7572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "PAMELA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-11",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "5872-C",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116378726",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Sill, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.