MS. PAMELA SUE MELLOTT (LISW) – Clinical Social Worker, NPI 1457597684

MS. PAMELA SUE MELLOTT (LISW) is a healthcare provider. based in South sioux city, Nebraska. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. 7995 (NE). The NPI Number for MS. PAMELA SUE MELLOTT (LISW) is 1457597684

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MS. PAMELA SUE MELLOTT (LISW)
NPI
1457597684
Phone
(402) 494-3337
Address
917 W 21ST ST
Enumeration Date
17 December 2008
Last Update Date
16 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7122523871
Graduation Year
2005 (21 years ago)
PAC ID
6901079128
Group Practice PAC ID
4688575251
Professional Enrollment ID
I20111104000053
Address ID
IA511011919SI625XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

314 CLINICAL SOCIAL WORKER in NE

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Provider Addresses for MS. PAMELA SUE MELLOTT (LISW)

  • 917, West 21st Street, South Sioux City, Dakota County, Nebraska, 68776, United States

    SOUTH SIOUX CITY, NE 687762652

    Phone: (402) 494-3337

    Type: Location

  • Denice Court, Sioux City, Woodbury County, Iowa, 51104, United States

    SIOUX CITY, IA 511041391

    Phone: (712) 560-1841

    Type: Mailing

  • 625 COURT ST

    SIOUX CITY, IA 511011919

    Phone: (171) 225-2387

    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: 2011-11-04

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
I20111104000053IClinical Social WorkerIATBD

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
90834Psychotherapy, 45 minutes26037$0
90837Psychotherapy, 1 hour1514$0
View full utilization report →

Insurance plans in this area (ZIP 68776)

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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: 4688575251View full group profile
NameSpecialtyState
Nurse PractitionerNE
Clinical Social WorkerIA
-IA
Clinical Social WorkerIA
Mental Health CounselorIA
Mental Health CounselorSD
Mental Health CounselorOH
Certified Clinical Nurse Specialist (Cns)IA
Mental Health CounselorNE
-IA

Reviews

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Frequently asked questions

Where can patients find MS. PAMELA SUE MELLOTT (LISW)'s NPI?
You can confirm MS. PAMELA SUE MELLOTT (LISW) with NPI 1457597684; it appears in the national provider directory.
Does this profile mean MS. PAMELA SUE MELLOTT (LISW) is currently active?
Yes — MS. PAMELA SUE MELLOTT (LISW) appears active in the national provider directory.
What field does MS. PAMELA SUE MELLOTT (LISW) work in?
You can think of MS. PAMELA SUE MELLOTT (LISW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does MS. PAMELA SUE MELLOTT (LISW) practice in Nebraska?
You will see South Sioux City, Nebraska on file for MS. PAMELA SUE MELLOTT (LISW) alongside any extra practice locations.
Is MS. PAMELA SUE MELLOTT (LISW) a real provider?
This page reflects official NPPES data for NPI 1457597684. Always confirm identity and privileges with the practice and licensing boards.

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