MS. PAMELARENEE RENEE JEMERSON (LCSW) – Clinical Social Worker, NPI 1073065678

MS. PAMELARENEE RENEE JEMERSON (LCSW) is a healthcare provider. based in Lawrenceville, Georgia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CSW005670 (GA). The NPI Number for MS. PAMELARENEE RENEE JEMERSON (LCSW) is 1073065678

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MS. PAMELARENEE RENEE JEMERSON (LCSW)
NPI
1073065678
Phone
(678) 862-9798
Address
PO BOX 466363
Enumeration Date
30 October 2016
Last Update Date
30 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8552417160
Graduation Year
2005 (21 years ago)
PAC ID
1254774912
Group Practice PAC ID
4385929173
Professional Enrollment ID
I20240209000402
Address ID
GA30307XXXXATXXXXXXXXXX00
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,046 CLINICAL SOCIAL WORKER in GA

Provider Addresses for MS. PAMELARENEE RENEE JEMERSON (LCSW)

  • PO BOX 466363

    LAWRENCEVILLE, GA 300426363

    Phone: (678) 862-9798

    Type: Mailing

  • 2180 SATELLITE BLVD

    DULUTH, GA 300974028

    Phone: (678) 862-9798

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240209000402IClinical Social WorkerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30042)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385929173View full group profile
NameSpecialtyState
Clinical Social WorkerNY
Clinical Social WorkerNY
Clinical Social WorkerWI
Clinical Social WorkerMD
Clinical Social WorkerNY
Mental Health CounselorAR
Clinical Social WorkerNY
Clinical Social WorkerWA
Clinical Social WorkerME
Clinical Social WorkerOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. PAMELARENEE RENEE JEMERSON (LCSW)?
MS. PAMELARENEE RENEE JEMERSON (LCSW) — NPI 1073065678 — is the standard way to identify this listing.
Can I rely on MS. PAMELARENEE RENEE JEMERSON (LCSW) being an active provider?
As of the registry snapshot, MS. PAMELARENEE RENEE JEMERSON (LCSW) is marked active.
What taxonomy line describes MS. PAMELARENEE RENEE JEMERSON (LCSW)?
For research purposes, treat MS. PAMELARENEE RENEE JEMERSON (LCSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MS. PAMELARENEE RENEE JEMERSON (LCSW) on a map?
Expect Lawrenceville, Georgia as a primary anchor for MS. PAMELARENEE RENEE JEMERSON (LCSW) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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