Active NPI
Pamela Denise Green, LMSW
- Social Worker
- Rayville, LA
National Provider Identifier
1902458995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6570
- Practice address
- 307 Hayes St
Rayville, LA 71269-2531 - Phone
- (318) 728-5488
- Fax
- (318) 728-6828
- NPI assigned
- Jul 10, 2019
- Last updated
- Jul 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6570 | LA | Primary |
Addresses
Primary practice location
307 Hayes St
Rayville, LA 71269-2531
Mailing address
307 Hayes St
Rayville, LA 71269-2531
Phone (318) 728-5488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6570 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1902458995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 HAYES ST",
"city": "RAYVILLE",
"state": "LA",
"postal_code": "712692531",
"telephone_number": "318-728-5488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 HAYES ST",
"city": "RAYVILLE",
"state": "LA",
"postal_code": "712692531",
"telephone_number": "318-728-5488",
"fax_number": "318-728-6828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "PAMELA",
"middle_name": "DENISE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-10",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "6570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rayville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.