Individual provider Active NPI

Pamela R Lund, LICSW

  • Clinical Social Worker
  • Rowley, MA
National Provider Identifier
1760588115
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113518 Issued in MA
Practice address
300 Newburyport Tpke
Ste 8
Rowley, MA 01969-2012
Phone
(978) 257-7890
NPI assigned
Sep 15, 2006
Last updated
Aug 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 113518 MA Primary

Addresses

Primary practice location

300 Newburyport Tpke
Ste 8
Rowley, MA 01969-2012

Mailing address

300 Newburyport Tpke Ste 8
Rowley, MA 01969-2012
Phone (978) 462-9486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20070308000233 MA Practitioner - Clinical Social Worker 8022111210 Practice locations: Rowley, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Newburyport Tpke
Suite 8
Rowley, MA 01969-2012
Phone (978) 257-7890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113518MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1760588115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NEWBURYPORT TPKE STE 8",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019692012",
            "telephone_number": "978-462-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NEWBURYPORT TPKE",
            "address_2": "STE 8",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019692012",
            "telephone_number": "978-257-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUND",
        "first_name": "PAMELA",
        "middle_name": "R",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowley, MA

Sources for this page

Verify at the official NPI Registry.