Pamela Maine Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

30569 Issued in TX

Practice address

1204 Sam Houston Ave Ste 7
Huntsville, TX 77340-4601

Phone

(936) 661-4313

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Pamela Kay Johnson Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pam Johnson, LCSW

  • Clinical Social Worker
  • Galveston, TX
  • NPI 1346137478
  NPD Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1821205600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 ELMWOOD ST",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773203407",
            "telephone_number": "936-294-9751",
            "fax_number": "936-435-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 SAM HOUSTON AVE STE 7",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404601",
            "telephone_number": "936-661-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAMELA",
        "middle_name": "MAINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "30569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "JOHNSON",
            "middle_name": "KAY",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David S Jang
• Alannah Jenkins, M.S. SLP INTERN
• John E Pinkstaff M D PLLC
• Kellie Diann Johnson
• Melissa T Johnson, PHARM.D., BCPS
• Lydia Joiner, LPC ASSOCIATE
• Joint & Spine Center PA
• James William Jones
• Kimberly Jones
• Trevon Jerrell Jones

• Clinical Social Worker in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.

Verify at the official NPI Registry.