Individual provider Active NPI

Pamela Jo Lubin McGuire, LCSW

  • Clinical Social Worker
  • Hartford, CT
National Provider Identifier
1992941116
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006917 Issued in CT
Practice address
638 Prospect Ave
Hartford, CT 06105-4203
Phone
(860) 983-1679
Fax
(860) 516-1537
NPI assigned
Dec 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 006917 CT Primary

Addresses

Primary practice location

638 Prospect Ave
Hartford, CT 06105-4203

Mailing address

176 S Main St
West Hartford, CT 06107-3452
Phone (860) 983-1679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20090331000173 CT Practitioner - Clinical Social Worker 7618034919 Practice locations: Hartford, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

638 Prospect Ave
Hartford, CT 06105-4203
Phone (860) 983-1679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006917CTMDClinical Social Worker
6917CTMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: pamelamcguire@ctproviderdirect.org

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1992941116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 S MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073452",
            "telephone_number": "860-983-1679",
            "fax_number": "860-516-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 PROSPECT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054203",
            "telephone_number": "860-983-1679",
            "fax_number": "860-516-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "PAMELA",
        "middle_name": "JO LUBIN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.