PAMELA WATTERSON (LCSW) – Clinical Social Worker, NPI 1104208669

Clinical Social Worker

PAMELA WATTERSON (LCSW) is a healthcare provider. based in Kokomo, Indiana. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 34000411A (IN). The NPI Number for PAMELA WATTERSON (LCSW) is 1104208669

Main info

Female

40 Years Of Experience

Accepts Medicare Assignment

Name

PAMELA WATTERSON (LCSW)

NPI

1104208669

Phone

(765) 453-4500

Address

1531 ROCKFORD CT

Enumeration Date

22 June 2015

Last Update Date

22 June 2015

Doctor Profile

Medical School Name

OTHER

Secondary Phone

Graduation Year

1986 (40 years ago)

PAC ID

6002120284

Group Practice PAC ID

8123923281

Professional Enrollment ID

I20150731015885

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience34

Completeness75

Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for PAMELA WATTERSON (LCSW)

1531 ROCKFORD CT
KOKOMO, IN 469023207
Phone: (765) 453-4500
Fax: (765) 453-4525
Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 46902)

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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: 8123923281View full group profile

Name	Specialty	State
EMMA GRACE RICHARDS (AUD, CCC-A)	Qualified Audiologist	IN
MS. LOIS JANE TAYLOR (CANP)	Nurse Practitioner	IN
MRS. JENELLE S MILLER (MD)	Hematology/Oncology, Infectious Disease	IN
MRS. MEGAN MARIE KROM (FNP-C)	Nurse Practitioner	IN
JESSICA YVONNE MCCLINTOCK GLOVER (MD)	O B S T E T R I C S/ G Y N E C O L O G Y	IN
SAMUEL HERBERT ANDERSON-BEEN (MD)	Family Practice	IN
CHARLES A SALAZAR (MD)	O B S T E T R I C S/ G Y N E C O L O G Y	IN
MR. GEORGE GOVERN CHEN (M.D.)	Radiation Oncology	TX
VIVEK S SAHGAL (M.D., FACP)	Internal Medicine	IN
WILLIAM B MURRAY (M.D.)	O B S T E T R I C S/ G Y N E C O L O G Y	IN

Reviews

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Frequently asked questions

Where can patients find PAMELA WATTERSON (LCSW)'s NPI?

You can confirm PAMELA WATTERSON (LCSW) with NPI 1104208669; it appears in the national provider directory.

Is PAMELA WATTERSON (LCSW) active in the national directory?

PAMELA WATTERSON (LCSW)'s public NPI profile is in an active state.

What does PAMELA WATTERSON (LCSW) treat or focus on?

Patients typically see PAMELA WATTERSON (LCSW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.

Where is PAMELA WATTERSON (LCSW)'s primary listing?

We display Kokomo, Indiana because that is what the record indicates for PAMELA WATTERSON (LCSW).

Is PAMELA WATTERSON (LCSW) a real provider?

This page reflects official NPPES data for NPI 1104208669. Always confirm identity and privileges with the practice and licensing boards.