Active NPI
Pamela Shepard, LCSW
- Clinical Social Worker
- Decatur, TN
National Provider Identifier
1932440765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9818
- Practice address
- 189 County Road 182
Decatur, TN 37322-5011 - Phone
- (815) 782-2135
- NPI assigned
- Mar 4, 2013
- Last updated
- Sep 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9818 | TN | Primary |
| Clinical Social Worker | 1041C0700X | 149014596 | IL |
Addresses
Primary practice location
189 County Road 182
Decatur, TN 37322-5011
Mailing address
189 County Road 182
Decatur, TN 37322-5011
Phone (815) 782-2135
Other practice location 1
189 County Road 182
Decatur, TN 37322-5011
Phone (815) 782-2135
Other names 1
- Ms. Pamela Dahlman
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 |
|---|---|---|---|
| 149014596 | IL | MD | Clinical Social Worker |
| 9818 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heard Culture PLLC | Clinical | Current | Accepting new patients |
| Sunny Ridge Family Center, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Manhattan, IL
- NPI 1467256966
-
- Community/Behavioral Health Agency
- Bolingbrook, IL
- NPI 1558610493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1932440765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 COUNTY ROAD 182",
"city": "DECATUR",
"state": "TN",
"postal_code": "373225011",
"telephone_number": "815-782-2135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 COUNTY ROAD 182",
"city": "DECATUR",
"state": "TN",
"postal_code": "373225011",
"telephone_number": "815-782-2135"
}
],
"practiceLocations": [
{
"address_1": "189 County Road 182",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "TN",
"postal_code": "373225011",
"country_code": "US",
"telephone_number": "815-782-2135",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEPARD",
"first_name": "PAMELA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-04",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "9818",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149014596",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "DAHLMAN",
"prefix": "MS.",
"credential": "LSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Decatur, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.