Pamela Jean Callaghan, LICSW, PIP

Individual provider Active NPI Clinical Social Worker · Jemison, AL

NPI 1669943544 · NPPES record last updated Dec 17, 2018

Key facts

NPI
1669943544
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
0665-1787C (AL)
Practice address
13954 County Road 51
Jemison, AL 35085-5074
Phone
(678) 283-8025
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
University of Alabama School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Therapeutic Services LLC (6 clinicians)

Practice addresses (Care Compare)

1 Perimeter Park S
Suite 100N
Birmingham, AL 35243-3248
Phone (205) 936-2356

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210212001562 AL Practitioner - Clinical Social Worker 3173938719 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
0665-1787CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Therapeutic Services, LLC Clinical Current
since Aug 1, 2023
Accepting new patients

Locations

1 Perimeter Park S
Ste 100N
Mountain Brook, AL 35243
Phone (205) 936-2356

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0665-1787C AL Yes

Addresses

Primary practice location

13954 County Road 51
Jemison, AL 35085-5074

Mailing address

13954 County Road 51
Jemison, AL 35085-5074
Phone (678) 283-8025

Other providers in Jemison, AL

All providers in Jemison, AL · Clinical Social Worker in Alabama

Sources for this page

Verify at the official NPI Registry.