PAMELLA A MONTGOMERY (LSW, ACSW) – Clinical Social Worker, NPI 1386614006

PAMELLA A MONTGOMERY (LSW, ACSW) is a healthcare provider. based in Okemos, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LSW, ACSW. They hold a License No. 6801000545 (MI). The NPI Number for PAMELLA A MONTGOMERY (LSW, ACSW) is 1386614006

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
PAMELLA A MONTGOMERY (LSW, ACSW)
NPI
1386614006
Phone
(517) 381-0111
Address
3887 OKEMOS RD
Enumeration Date
25 January 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5173477736
Graduation Year
1987 (39 years ago)
PAC ID
6709870926
Professional Enrollment ID
I20040412000843
Address ID
MI488642871OK3800XAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,820 CLINICAL SOCIAL WORKER in MI

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Provider Addresses for PAMELLA A MONTGOMERY (LSW, ACSW)

  • 3887, Okemos Road, Okemos, Meridian Charter Township, Ingham County, Michigan, 48864, United States

    SUITE A4

    OKEMOS, MI 488643664

    Phone: (517) 381-0111

    Fax: (517) 381-0444

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-12

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
I20040412000843IClinical Social WorkerMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour14411$0
View full utilization report →

Insurance plans in this area (ZIP 48864)

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Reviews

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Frequently asked questions

How is PAMELLA A MONTGOMERY (LSW, ACSW) identified in CMS data?
CMS-hosted NPPES data lists PAMELLA A MONTGOMERY (LSW, ACSW) with NPI 1386614006.
Can I rely on PAMELLA A MONTGOMERY (LSW, ACSW) being an active provider?
As of the registry snapshot, PAMELLA A MONTGOMERY (LSW, ACSW) is marked active.
What healthcare role does PAMELLA A MONTGOMERY (LSW, ACSW) hold?
Scheduling teams often label PAMELLA A MONTGOMERY (LSW, ACSW) under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for PAMELLA A MONTGOMERY (LSW, ACSW)?
PAMELLA A MONTGOMERY (LSW, ACSW)'s geographic hint is Okemos, Michigan in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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