Individual provider Active NPI

Pamela Miller, LCSW

  • Clinical Social Worker
  • Anchorage, AK
National Provider Identifier
1902254980
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSWS959 Issued in AK
Practice address
380 E 11TH Ave Unit 326
Anchorage, AK 99501-6518
Phone
(907) 717-9180
NPI assigned
May 31, 2016
Last updated
Jun 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSWS959 AK Primary
Clinical Social Worker 1041C0700X 6105 WI
Clinical Social Worker 1041C0700X 149002689 IL

Addresses

Primary practice location

380 E 11TH Ave Unit 326
Anchorage, AK 99501-6518

Mailing address

380 E 11TH Ave Unit 326
Anchorage, AK 99501-6518
Phone (907) 717-9180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20231012003498 AK Practitioner - Clinical Social Worker 3870948797 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSWS959AKMDClinical Social Worker
149002689ILMDClinical Social Worker
6105WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cordova Community Medical Center CurrentSince Aug 12, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/cordova-527880fe

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1902254980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E 11TH AVE UNIT 326",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995016518",
            "telephone_number": "907-717-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E 11TH AVE UNIT 326",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995016518",
            "telephone_number": "907-717-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PAMELA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "CSWS959",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6105",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149002689",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.