Individual provider Active NPI

Pamela Jean Callaghan, LICSW, PIP

  • Clinical Social Worker
  • Jemison, AL
National Provider Identifier
1669943544
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0665-1787C Issued in AL
Practice address
13954 County Road 51
Jemison, AL 35085-5074
Phone
(678) 283-8025
NPI assigned
Dec 17, 2018
Last updated
Dec 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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 0665-1787C AL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20210212001562 AL Practitioner - Clinical Social Worker 3173938719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 4486923729, 6 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0665-1787CALMDClinical Social Worker

Practice roles

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

Locations

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

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, 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": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1669943544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13954 COUNTY ROAD 51",
            "city": "JEMISON",
            "state": "AL",
            "postal_code": "350855074",
            "telephone_number": "678-283-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13954 COUNTY ROAD 51",
            "city": "JEMISON",
            "state": "AL",
            "postal_code": "350855074",
            "telephone_number": "678-283-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAGHAN",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "credential": "LICSW, PIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "0665-1787C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jemison, AL

Sources for this page

Verify at the official NPI Registry.