Pamela Stacy Khan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05414000 Issued in NJ

Practice address

1010 Park Ave
Plainfield, NJ 07060-3024

Phone

(908) 822-9099

NPI assigned

Feb 10, 2010

Last updated

Feb 10, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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 NJ

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Confidential Behavioral CareGroup PAC ID 3072684950, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Confidential Behavioral Care

  • Mental Health Counselor
  • Plainfield, NJ
  • NPI 1508054305
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1972835221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603024",
            "telephone_number": "908-822-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603024",
            "telephone_number": "908-822-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "PAMELA",
        "middle_name": "STACY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05414000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kazmi Health Services LLC
• Kestler and Jarus D.D.S. PA
• Anthony Martin Kestler, DDS
• Won Kyung Keum, C.A.
• Mohita Khamar
• Anil Khandelwal, M.D.
• Ahmed Khattab
• Kidney Life, LLC (Plainfield Dialysis)
• Kinjal Mehta DMD PC
• Jason Kwan, DDS

• Clinical Social Worker in Plainfield, NJ
• Providers in Plainfield, 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 Feb 10, 2010; 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.