Active NPI
Pamela Rawdon, LCSW
- Clinical Social Worker
- Pascagoula, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C8084
- 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, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051500150 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singing River Health System | Current | Accepting new patients | |
| Singing River Gulfport | Current | Accepting new patients | |
| Russellville Hospital Inc | Current | Accepting new patients | |
| Russellville Hospital Inc | Current | Accepting new patients | |
| Singing River Gulfport | Current | Accepting new patients | |
| Coastal Counseling and Consulting, LLC | Clinical | Past | 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.
-
- Multi-Specialty Clinic/Center
- Gautier, MS
- NPI 1083893937
-
dba Singing River Gulfport Ambulatory
- Multi-Specialty Clinic/Center
- Gulfport, MS
- NPI 1861010159
-
dba Russellville Hospital Medical Clinic
- Family Medicine Physician
- Russellville, AL
- NPI 1780232314
-
- Clinical Social Worker
- Daphne, AL
- NPI 1497919534
-
- Internal Medicine Physician
- Gulfport, MS
- NPI 1487327193
-
dba Russellville Hospital Family Care First Clinic
- Rural Health Clinic/Center
- Russellville, AL
- NPI 1508491093
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pascagoula, MS
- NPI 1124136593
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
- Nikki S Quinley, PA-C
- Hugo A Quintana, MD
- R. Kent Ozon MD PLLC
- Leslie Ramon
- Randy S Kirksey Marriage and Family Therapist (Coastal Therapy & Family Services)
- Reconnect Wellness Pascagoula LLC (Reconnect Therapy and Wellness)
- Ashley Reed
- Holly Anne Reeves, LPC
- Regional Digestive Specialists P.C.
- Rachel Valera Reves, MFT, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.