Active NPI
Pamela Davies, LCSW
- Clinical Social Worker
- Fishersville, VA
National Provider Identifier
1699749192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 090400229
- Practice address
- 79 N Medical Park Dr
Fishersville, VA 22939-2344 - Phone
- (540) 213-2525
- Fax
- (540) 213-2555
- NPI assigned
- Feb 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 090400229 | VA | Primary |
Addresses
Primary practice location
79 N Medical Park Dr
Fishersville, VA 22939-2344
Mailing address
PO Box 239
Fishersville, VA 22939-0239
Phone (540) 932-4629
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140307 | Other | VA | ANTHEM BEHAVIORAL |
| 2226533 | Other | VA | FIRST HEALTH |
| 8927201 | Other | VA | VA PREMIER |
| 082556 | Other | VA | OPTIMA HEALTH |
| 2041301 | Other | VA | CIGNA BEHAVIORAL |
| 008927201 | Medicaid | VA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090400229 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1699749192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 239",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229390239",
"telephone_number": "540-932-4629",
"fax_number": "540-932-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 N MEDICAL PARK DR",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392344",
"telephone_number": "540-213-2525",
"fax_number": "540-213-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIES",
"first_name": "PAMELA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "090400229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BEHAVIORAL",
"identifier": "140307",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2226533",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIER",
"identifier": "8927201",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH",
"identifier": "082556",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL",
"identifier": "2041301",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008927201",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fishersville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.