Individual provider Active NPI

Pamela Skon, LICSW

  • Clinical Social Worker
  • Sandpoint, ID
National Provider Identifier
1912325713
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
39812 Issued in MN
Practice address
810 Sixth Ave
Sandpoint, ID 83864-5396
Phone
(208) 263-3410
NPI assigned
Mar 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 39812 MN Primary

Addresses

Primary practice location

810 Sixth Ave
Sandpoint, ID 83864-5396

Mailing address

810 Sixth Ave
Sandpoint, ID 83864-5396
Phone (218) 556-6438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WA, ID3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20141110000222 MN Practitioner - Clinical Social Worker 8820210727 Reassigns benefits to 1 organization
I20210419000085 WA Practitioner - Clinical Social Worker 8820210727 Reassigns benefits to 3 organizations
I20240730003029 ID Practitioner - Clinical Social Worker 8820210727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boundary Regional Community Health Center IncGroup PAC ID 2264341221, 22 clinicians
Pend Oreille County Public Hospital District No 1Group PAC ID 3274431184, shared by 5 NPIs, 31 clinicians

Practice addresses (Care Compare)

1033 Baldy Mountain Rd
Sandpoint, ID 83864-9202
Phone (208) 920-5151

6615 Comanche St
Bonners Ferry, ID 83805-7523
Phone (208) 267-1718

714 W Pine St
Newport, WA 99156-9046
Phone (509) 447-2441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39812MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Boundary Regional Community Health Center, Inc. Current Accepting new patients
Pend Oreille County Public Hospital District No 1 CurrentSince Jan 5, 2026 Accepting new patients
Boundary Regional Community Health Center Inc CurrentSince Jul 23, 2024 Accepting new patients
Pend Oreille County Public Hospital District No 1 CurrentSince Jan 5, 2026 Accepting new patients
Boundary Regional Community Health Center Inc CurrentSince Jul 23, 2024 Accepting new patients
Pend Oreille County Public Hospital District No 1 CurrentSince Jan 5, 2026 Accepting new patients
Boundary Regional Community Health Center, Inc. Past Accepting new patients
Pend Oreille County Public Hospital District No 1 Past Accepting new patients

Locations

6615 Comanche St
Bonners Ferry, ID 83805
Phone (208) 267-1718

6509 Highway 2
Ste 101
Priest River, ID 83856
Phone (208) 448-2321

1033 Baldy Mountain Rd
Sandpoint, ID 83864
Phone (208) 263-7101

810 N Sixth Ave
Sandpoint, ID 83864
Phone (208) 263-7101

714 W Pine St
Newport, WA 99156
Phone (509) 447-2441

714 W Pine St
Bldg C
Newport, WA 99156
Phone (509) 447-3139

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: pamela.skon.1@32745.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1912325713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 SIXTH AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838645396",
            "telephone_number": "218-556-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SIXTH AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838645396",
            "telephone_number": "208-263-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKON",
        "first_name": "PAMELA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "39812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

Verify at the official NPI Registry.