Pamela Patterson Kowalczyk, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW014030 Issued in PA

Practice address

121 W 2ND Ave
Latrobe, PA 15650-1068

Phone

(724) 537-1650

Fax

(724) 537-1650

NPI assigned

Jul 12, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Excela Health Physician Practices, Inc

  dba Excela Health Behavioral Health

  • Psychiatry Physician
  • Greensburg, PA
  • NPI 1861438095
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992730394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MARK DR",
            "city": "DELMONT",
            "state": "PA",
            "postal_code": "156261623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W 2ND AVE",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501068",
            "telephone_number": "724-537-1650",
            "fax_number": "724-537-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALCZYK",
        "first_name": "PAMELA",
        "middle_name": "PATTERSON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE",
            "identifier": "7853336",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS INSURANCE",
            "identifier": "465598",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS INSURANCE",
            "identifier": "383909",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VBH OF PA INSURANCE",
            "identifier": "465598 A093774",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy David Klejka, PTA
• Douglas E Klions, M.D.
• Joseph John Klosky, DC
• Bonjoo Koo
• Danielle Marie Koontz
• Matthew Krause, D.O.
• Jessica Kravetz
• Joseph Michael Kromer, MS LBS
• Paul G Krouse, DPM
• Courtney Brooke Kubovcik

• Clinical Social Worker in Latrobe, PA
• Providers in Latrobe, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.