Individual provider Active NPI

Pamela G Parker, LISW

  • Social Worker
  • Cincinnati, OH
National Provider Identifier
1831151570
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I0007575 Issued in OH
Practice address
8595 Beechmont Ave. #303
Cincinnati, OH 45255
Phone
(513) 520-3365
Fax
(513) 734-0065
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X F0007575 OH
Social Worker 104100000X I0007575 OH Primary
Clinical Social Worker 1041C0700X I0007575 OH

Addresses

Primary practice location

8595 Beechmont Ave. #303
Cincinnati, OH 45255

Mailing address

8595 Beechmont Ave. #303
Cincinnati, OH 45255
Phone (513) 520-3365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20031210000911 OH Practitioner - Clinical Social Worker 5496651333 Practice locations: Cincinnati, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8595 Beechmont Ave
Cincinnati, OH 45255-4740
Phone (513) 520-3365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0007575OHMDSocial Worker
F0007575OHMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George S Broderick D.O. Inc. Past Accepting new patients
Premier Counseling and Coaching Services, LLC Social Worker Past Accepting new patients
Dahar & Associates, Inc. Social Worker Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1831151570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8595 BEECHMONT AVE. #303",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45255",
            "telephone_number": "513-520-3365",
            "fax_number": "513-734-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 BEECHMONT AVE. #303",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45255",
            "telephone_number": "513-520-3365",
            "fax_number": "513-734-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "PAMELA",
        "middle_name": "G",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "OH",
            "license": "F0007575",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I0007575",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0007575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.