MS. PAMELA ROCHELLE SHADAIA (LMSW) – Clinical Social Worker, NPI 1831425396
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,821 CLINICAL SOCIAL WORKER in MI
Provider Addresses for MS. PAMELA ROCHELLE SHADAIA (LMSW)
4473 DANIEL DR
GRAND BLANC, MI 484397653
Phone: (248) 894-5683
Fax: (773) 866-8014
Type: Mailing
G3200 BEECHER RD STE MBI
FLINT, MI 485323613
Phone: (810) 342-5470
Fax: (810) 342-5788
Type: Location
G3525 S Saginaw St
Burton, MI 485291260
Phone: (810) 222-3040
Fax: (810) 958-1176
Type: Location
4448 Oakbridge Dr
Flint, MI 485325484
Phone: (810) 342-5333
Fax: (810) 342-5335
Type: Location
Middlebelt Road, Livonia, Wayne County, Michigan, 48154, United States
LIVONIA, MI 481525007
Phone: (248) 615-9730
Fax: (248) 615-1260
Type: Location
Cass Avenue, Clinton Township, Macomb County, Michigan, 48043, United States
CLINTON TWP, MI 480382393
Phone: (248) 615-9730
Type: Mailing
PO BOX 746723
ATLANTA, GA 303746723
Phone: (312) 733-9730
Fax: (773) 866-8014
Type: Mailing
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: 2023-06-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230628001662 | I | Clinical Social Worker | MI | TBD |
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.
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 48439)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Nurse Practitioner | GA | |
| - | IL | |
| Family Practice | WA | |
| Clinical Social Worker | MI | |
| - | IL | |
| Family Practice | IL | |
| Family Practice | TN | |
| Internal Medicine | NC | |
| Nurse Practitioner | GA |
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