Individual provider Active NPI

Pamela B. Muxworthy, LMSW, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Canandaigua, NY
National Provider Identifier
1730267873
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
9625 Issued in NY
Practice address
5565 Vardon Dr
Canandaigua, NY 14424-8860
Phone
(585) 394-6180
Fax
(585) 394-6180
NPI assigned
Nov 2, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 9625 NY Primary
Clinical Social Worker 1041C0700X 057907-1 NY

Addresses

Primary practice location

5565 Vardon Dr
Canandaigua, NY 14424-8860

Mailing address

5565 Vardon Dr
Canandaigua, NY 14424-8860
Phone (585) 394-6180

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9625NYMDAddiction (Substance Use Disorder) Counselor
057907-1NYMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1730267873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 VARDON DR",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144248860",
            "telephone_number": "585-394-6180",
            "fax_number": "585-394-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 VARDON DR",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144248860",
            "telephone_number": "585-394-6180",
            "fax_number": "585-394-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUXWORTHY",
        "first_name": "PAMELA",
        "middle_name": "B.",
        "credential": "LMSW, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "9625",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "057907-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.