Pamela Beth Shifter, PH.D L.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW001022 Issued in MO

Practice address

677 N New Ballas Rd
Suite 208
Saint Louis, MO 63141-6732

Phone

(314) 583-0284

Fax

(314) 434-7429

NPI assigned

Jun 28, 2007

Last updated

Jul 9, 2007By 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 MO

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, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• For the Love of You - Fly Counseling, LLC

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1831865088
  NPD (past)

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972700557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 STABLEFIELD CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416095",
            "telephone_number": "314-583-0284",
            "fax_number": "314-434-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 N NEW BALLAS RD",
            "address_2": "SUITE 208",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416732",
            "telephone_number": "314-583-0284",
            "fax_number": "314-434-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFTER",
        "first_name": "PAMELA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PH.D  L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW001022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Foy Shields, RD
• Margaret L Shields, D.P.M.
• Steven R Shields, MD
• Tracy Ann Shields, MA,CCC-SLP
• Adrian Shifren, MD
• Fei F Shih, MD PHD
• Allison Shildt, MD
• Laura L Shillito, OT
• Kumiko Shimoda, MD
• Joshua S Shimony, MD

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.