Individual provider Active NPI

Pamela R Wollet, LCSW

  • Clinical Social Worker
  • Williamsport, PA
National Provider Identifier
1710116884
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1000 Commerce Park Dr Ste 307
Williamsport, PA 17701-5475
Phone
(570) 220-6270
Fax
(272) 202-5097
NPI assigned
Jul 9, 2009
Last updated
May 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary
Social Worker 104100000X SW127684 PA

Addresses

Primary practice location

1000 Commerce Park Dr Ste 307
Williamsport, PA 17701-5475

Mailing address

267 Fluman Rd
Williamsport, PA 17701-8588
Phone (570) 220-6270

Other practice location 1

393 Eldred St Fl 1
Williamsport, PA 17701-2340
Phone (570) 220-6270

Other practice location 2

1000 Commerce Park Dr
Suite 110
Williamsport, PA 17701-5475
Phone (570) 323-6944

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL wolletp@outlook.com
Direct Messaging Address wolletp@outlook.com
Direct Messaging Address wolletp@outlook.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170911000362 PA Practitioner - Clinical Social Worker 6406129667 Reassigns benefits to 1 organization
Practice locations: Williamsport, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Commerce Park Dr
Suite 307
Williamsport, PA 17701-5475
Phone (570) 220-6270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW127684PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Services Group, Inc. CurrentSince Jul 26, 2017 Accepting new patients
Pamela Wollet, LCSW LLC Clinical CurrentSince May 22, 2022 Accepting new patients

Locations

320 Highland Dr
Mountville, PA 17554
Phone (717) 285-7121

1000 Commerce Park Dr
Ste 307
Williamsport, PA 17701
Phone (570) 220-6270

1000 Commerce Park Dr
Ste 110
Williamsport, PA 17701
Phone (570) 323-6944

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": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1710116884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 FLUMAN RD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177018588",
            "telephone_number": "570-220-6270",
            "fax_number": "570-505-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COMMERCE PARK DR STE 307",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015475",
            "telephone_number": "570-220-6270",
            "fax_number": "272-202-5097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "393 Eldred St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177012340",
            "country_code": "US",
            "telephone_number": "570-220-6270",
            "fax_number": "570-505-1241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Commerce Park Dr",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177015475",
            "country_code": "US",
            "telephone_number": "570-323-6944",
            "fax_number": "570-323-4529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLLET",
        "first_name": "PAMELA",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW127684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wolletp@outlook.com",
            "affiliation": "N",
            "address_1": "393 Eldred St Fl 1",
            "city": "Williamsport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177012340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wolletp@outlook.com",
            "affiliation": "N",
            "address_1": "393 Eldred St Fl 1",
            "city": "Williamsport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177012340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wolletp@outlook.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "393 Eldred St Fl 1",
            "city": "Williamsport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177012340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.