Active NPI
Pamela G Parker, LISW
- Social Worker
- Cincinnati, OH
National Provider Identifier
1831151570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I0007575
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| I0007575 | OH | MD | Social Worker |
| F0007575 | OH | MD | Addiction Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Child & Adolescent Psychiatry Physician
- Cincinnati, OH
- NPI 1518011998
-
- Mental Health Counselor
- Cincinnati, OH
- NPI 1679934095
Social Worker
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.