PAMELA MOEN (LISW) – Clinical Social Worker, NPI 1447601406
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
827 CLINICAL SOCIAL WORKER in IA
Provider Addresses for PAMELA MOEN (LISW)
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 551121789
Phone: (651) 628-9566
Fax: (651) 628-0411
Type: Mailing
1030 5th Ave SE Ste 3000
Cedar Rapids, IA 52403
Phone: (319) 286-4545
Type: Location
3100 E Ave NW
Cedar Rapids, IA 524052962
Phone: (800) 531-4236
Type: Location
233, I 55, Braceville, Grundy County, Illinois, 60407, United States
GRUNDY CENTER, IA 506380233
Phone: (319) 214-9009
Fax: (319) 483-6661
Type: Mailing
5th Avenue Southeast, Cedar Rapids, Linn County, Iowa, 52403, United States
CEDAR RAPIDS, IA 52403
Phone: (319) 286-4545
Type: Location
1290 JORDAN ST
NORTH LIBERTY, IA 523178020
Phone: (319) 249-0307
Fax: (319) 358-2367
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: 2021-08-03
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 |
|---|---|---|---|---|
| I20210803001982 | I | Clinical Social Worker | IA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 42 | 11 | $0 |
Insurance plans in this area (ZIP 55112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IA | |
| Clinical Social Worker | IA | |
| Clinical Psychologist | IA | |
| P S Y C H I A T R Y | IA | |
| Physician Assistant | IA | |
| Mental Health Counselor | IL | |
| - | IA | |
| Clinical Social Worker | IA | |
| Clinical Social Worker | IA | |
| Clinical Social Worker | IA |
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