Individual provider Active NPI

Pamela Barrett Brewer, MSW

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1639345549
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06257 Issued in MD
Practice address
7315 Wisconsin Ave
Suite 235 East Tower
Bethesda, MD 20814-3202
Phone
(301) 654-5286
Fax
(301) 654-1087
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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 06257 MD Primary

Addresses

Primary practice location

7315 Wisconsin Ave
Suite 235 East Tower
Bethesda, MD 20814-3202

Mailing address

7315 Wisconsin Ave
Suite 235 East Tower
Bethesda, MD 20814-3202
Phone (301) 654-5286

Other names 1

  • Geraldine Pamla Hailstolk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2015 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06257MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1639345549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 WISCONSIN AVE",
            "address_2": "SUITE 235 EAST TOWER",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143202",
            "telephone_number": "301-654-5286",
            "fax_number": "301-654-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 WISCONSIN AVE",
            "address_2": "SUITE 235 EAST TOWER",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143202",
            "telephone_number": "301-654-5286",
            "fax_number": "301-654-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "PAMELA",
        "middle_name": "BARRETT",
        "name_prefix": "Dr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERALDINE",
            "last_name": "HAILSTOLK",
            "middle_name": "PAMLA",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.