Pamela Rochelle Shadaia, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801090202 Issued in MI

Practice address

G3200 Beecher Rd Ste Mbi
Flint, MI 48532-3613

Phone

(810) 342-5470

Fax

(810) 342-5788

NPI assigned

Oct 19, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Wayne State University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

McLaren FlintGroup PAC ID 8628975497, 144 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Innerscape Counseling PLLC

  • Clinical Social Worker
  • Grand Blanc, MI
  • NPI 1811858590
  Medicare reassignment NPD Authorized official
• McLaren Flint

  • Psychologist
  • Flint, MI
  • NPI 1962541318
  Medicare reassignment Care Compare group NPD
• Osh-Mi Physicians Group PC

  • Primary Care Clinic/Center
  • Detroit, MI
  • NPI 1700236478
  Medicare reassignment Care Compare group NPD
• McLaren Flint

  • Social Worker
  • Flint, MI
  • NPI 1356480685
  NPD
• Osh Mi Physicians Group, PC

  • Primary Care Clinic/Center
  • Memphis, TN
  • NPI 1720635790
  NPD
• Creekside Counseling Group LLC

  • Clinical Social Worker
  • Grand Blanc, MI
  • NPI 1619550860
  NPD (past)
• Osh-Mi Physicians Group PC

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1033766092

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1831425396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4473 DANIEL DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397653",
            "telephone_number": "248-894-5683",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3200 BEECHER RD STE MBI",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323613",
            "telephone_number": "810-342-5470",
            "fax_number": "810-342-5788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "G3525 S Saginaw St",
            "address_purpose": "LOCATION",
            "city": "Burton",
            "state": "MI",
            "postal_code": "485291260",
            "country_code": "US",
            "telephone_number": "810-222-3040",
            "fax_number": "810-958-1176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4448 Oakbridge Dr",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485325484",
            "country_code": "US",
            "telephone_number": "810-342-5333",
            "fax_number": "810-342-5335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHADAIA",
        "first_name": "PAMELA",
        "middle_name": "ROCHELLE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lee Severn, PHYSICIAN ASSISTANT
• Ariel Seyedin
• Mina Altwail Shaba, M.D.
• April Shackelford, LMSW, CADC
• Agness Latrice Shackleford
• Jennifer Shaffer, DNP, APRN, FNP-BC
• Lauren Marjorie Shaffer, OD
• Shafi J Ahmed MD PC
• Shahin Shafiei, MD
• Anant M Shah, M.D.

• Clinical Social Worker in Flint, MI
• Providers in Flint, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.