Individual provider Active NPI

Pamela Rawdon, LCSW

  • Clinical Social Worker
  • Pascagoula, MS
National Provider Identifier
1750338703
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C8084 Issued in MS
Practice address
4502 LT Eugene J Majure Dr
Pascagoula, MS 39581-5305
Phone
(228) 696-9224
Fax
(228) 696-9228
NPI assigned
May 27, 2006
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 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 4455C AL
Clinical Social Worker 1041C0700X C8084 MS Primary

Addresses

Primary practice location

4502 LT Eugene J Majure Dr
Pascagoula, MS 39581-5305

Mailing address

2101 Highway 90
Gautier, MS 39553-5340
Phone (228) 497-7576

Other identifiers 1

IdentifierTypeStateIssuer
051500150MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080807000046 AL Practitioner - Clinical Social Worker 5092889113 Reassigns benefits to 1 organization
I20220916002652 MS Practitioner - Clinical Social Worker 5092889113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

Practice addresses (Care Compare)

4502 LT Eugene J Majure Dr
Coastal Ambulatory Services
Pascagoula, MS 39581-5305
Phone (228) 696-9224

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System CurrentSince Sep 2, 2022 Accepting new patients
Singing River Gulfport CurrentSince Jun 3, 2024 Accepting new patients
Russellville Hospital Inc CurrentSince Jul 15, 2022 Accepting new patients
Russellville Hospital Inc CurrentSince Jul 15, 2022 Accepting new patients
Singing River Gulfport CurrentSince Jun 3, 2024 Accepting new patients
Coastal Counseling and Consulting, LLC Clinical PastSince Feb 1, 2008 Accepting new patients

Locations

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

4502 Lt Eugene J Majure Dr
Pascagoula, MS 39581
Phone (228) 696-9224

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1750338703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535340",
            "telephone_number": "228-497-7576",
            "fax_number": "228-497-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 LT EUGENE J MAJURE DR",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815305",
            "telephone_number": "228-696-9224",
            "fax_number": "228-696-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWDON",
        "first_name": "PAMELA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4455C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C8084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051500150",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.