Pamela Coddington Black, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW5096 Issued in FL

Practice address

1301 SE Seashell LN
Stuart, FL 34996-4156

Phone

(772) 283-7994

NPI assigned

Jun 24, 2009

Last updated

Oct 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 FL

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

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Health Haven LLCGroup PAC ID 7911212634, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Health Haven LLC

  • Community/Behavioral Health Agency
  • Okeechobee, FL
  • NPI 1265824858
  Medicare reassignment Care Compare group
• Oglethorpe Psychmed Services of Florida Inc

  • Clinical Social Worker
  • Port St Lucie, FL
  • NPI 1831385061
  NPD (past)

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1912135351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SE SEASHELL LN",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349964156",
            "telephone_number": "772-283-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SE SEASHELL LN",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349964156",
            "telephone_number": "772-283-7994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 NW 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Okeechobee",
            "state": "FL",
            "postal_code": "349722568",
            "country_code": "US",
            "telephone_number": "863-261-8354",
            "fax_number": "863-638-5637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "PAMELA",
        "middle_name": "CODDINGTON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bemnet Wesen Bitew
• Kayla Bittinger
• Brittany Bittner
• Maria Bivins
• Lindsay S Black, ARNP
• Alan Ryan Blackburn II, M.D.
• Sade Blackshear, LMHC
• Briana Kay Blackwell
• Charles Robert Blackwell, D.O.
• Hugh Blackwood

• Clinical Social Worker in Stuart, FL
• Providers in Stuart, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; 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.