Individual provider Active NPI

Pamella Anne Bess-Tabb, LCSW

  • Clinical Social Worker
  • Peoria Heights, IL
National Provider Identifier
1699368548
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
712 E War Memorial Dr Ste D
Peoria Heights, IL 61616-7548
Phone
(309) 326-5820
NPI assigned
Feb 11, 2021
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

712 E War Memorial Dr Ste D
Peoria Heights, IL 61616-7548

Mailing address

1447 N Kellogg St
Galesburg, IL 61401-1840
Phone (309) 299-0193

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Direct Direct Bess Practice LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20260611004600 IL Practitioner - Clinical Social Worker 0446722219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
New York, NY 10087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bess-Tabb & Associates, LLC CurrentSince Jul 21, 2024 Accepting new patients

Organizations & group practices 2

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": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1699368548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N KELLOGG ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614011840",
            "telephone_number": "309-299-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 E WAR MEMORIAL DR STE D",
            "city": "PEORIA HEIGHTS",
            "state": "IL",
            "postal_code": "616167548",
            "telephone_number": "309-326-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESS-TABB",
        "first_name": "PAMELLA",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Direct",
            "affiliation": "Y",
            "affiliationName": "Bess Practice LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "712 E War Memorial Dr Ste D",
            "city": "Peoria Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "616167548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peoria Heights, IL

Sources for this page

Verify at the official NPI Registry.