Active NPI
Pamela Daniels, LLMSW
- Clinical Social Worker
- Hale, MI
National Provider Identifier
1780127639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851110466
- Practice address
- 436 W Main St
Hale, MI 48739-9246 - Phone
- (989) 728-2800
- Fax
- (989) 728-2803
- NPI assigned
- Nov 27, 2016
- Last updated
- Sep 12, 2023
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | |||
| Clinical Social Worker | 1041C0700X | 6851110466 | MI | Primary |
Addresses
Primary practice location
436 W Main St
Hale, MI 48739-9246
Mailing address
436 W Main St
Hale, MI 48739-9246
Phone (989) 728-2800
Other practice location 1
41521 W 11 Mile Rd
Novi, MI 48375-1803
Phone (248) 299-0030
Other practice location 2
1827 Greenwood Rd
Prescott, MI 48756-8626
Phone (989) 873-6200
Other names 1
- Pamela Mazurek
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 |
|---|---|---|---|
| 6851110466 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterling Area Health Center | Past | Accepting new patients |
Interoperability endpoints
- pamela.daniels.p1@direct.sterlinghealth.nextgenshare.com
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Sterling, MI
- NPI 1477538239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1780127639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 W MAIN ST",
"city": "HALE",
"state": "MI",
"postal_code": "487399246",
"telephone_number": "989-728-2800",
"fax_number": "989-728-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 W MAIN ST",
"city": "HALE",
"state": "MI",
"postal_code": "487399246",
"telephone_number": "989-728-2800",
"fax_number": "989-728-2803"
}
],
"practiceLocations": [
{
"address_1": "41521 W 11 Mile Rd",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483751803",
"country_code": "US",
"telephone_number": "248-299-0030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1827 Greenwood Rd",
"address_purpose": "LOCATION",
"city": "Prescott",
"state": "MI",
"postal_code": "487568626",
"country_code": "US",
"telephone_number": "989-873-6200",
"fax_number": "989-873-5563",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANIELS",
"first_name": "PAMELA",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-27",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851110466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "MAZUREK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.