Pamela Grayson-Baltimore

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1656 Kaighn Ave
Camden, NJ 08103-3607

Phone

(856) 304-4677

NPI assigned

Nov 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• I Dare to Care Association

  • Adolescent and Children Mental Health Clinic/Center
  • Camden, NJ
  • NPI 1134763907
  NPD Authorized official

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1972147056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 46TH ST",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081103668",
            "telephone_number": "856-304-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 KAIGHN AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033607",
            "telephone_number": "856-304-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYSON-BALTIMORE",
        "first_name": "PAMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "843558230",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mentor@id2c.org",
            "affiliation": "N",
            "address_1": "1656 Kaighn Ave",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081033607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shameka Grant
• Irwin Gratz, DO
• Crystal Renee Graul, AG-ACNP
• Aminot Graves-Ajayi, MD
• Anastasia Gray, CRNP
• Greater Love Home Health Care LLC
• Laura Greco, MD
• Adam Godfrey Green, M.D., M.B.A.
• Fran Green, APN-C
• Lauren Irene Greenawald, D.O.

• Clinical Social Worker in Camden, NJ
• Providers in Camden, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.