Active NPI
Pamela R Davenport, SOCIAL WORKER
- Social Worker
- Portland, ME
National Provider Identifier
1730994542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150105822
- Practice address
- 222 Auburn St Ste 103
Portland, ME 04103-6005 - Phone
- (207) 616-1127
- NPI assigned
- Feb 10, 2025
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 150105822 | IL | Primary |
Addresses
Primary practice location
222 Auburn St Ste 103
Portland, ME 04103-6005
Mailing address
222 Auburn St Ste 103
Portland, ME 04103-6005
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150105822 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1730994542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 AUBURN ST STE 103",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041036005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 AUBURN ST STE 103",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041036005",
"telephone_number": "207-616-1127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT",
"first_name": "PAMELA",
"middle_name": "R",
"credential": "SOCIAL WORKER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-10",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150105822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.