Individual provider Active NPI

Pamela Daniels, LLMSW

  • Clinical Social Worker
  • Hale, MI
National Provider Identifier
1780127639
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851110466 Issued in MI
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
6851110466MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Area Health Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.