Pamela Diane Carey, LICSW

Individual provider Active NPI Clinical Social Worker · Lunenburg, MA

NPI 1982616413 · NPPES record last updated Mar 16, 2022

Key facts

NPI
1982616413
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
111550 (MA)
Practice address
615 Leominster Rd
Lunenburg, MA 01462-2013
Phone
(978) 582-7103
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Flying High Farm Inc (3 clinicians)

Practice addresses (Care Compare)

615 Leominster Rd
Lunenburg, MA 01462-2013
Phone (978) 582-7103

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20170405000682 MA Practitioner - Clinical Social Worker 3971889957 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 111550 MA Yes

Addresses

Primary practice location

615 Leominster Rd
Lunenburg, MA 01462-2013

Mailing address

82 Little Turnpike Rd
Shirley, MA 01464-2206
Phone (508) 517-3796

Other providers in Lunenburg, MA

All providers in Lunenburg, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.