PAMELA MAINE JOHNSON (LCSW) – Clinical Social Worker, NPI 1821205600

PAMELA MAINE JOHNSON (LCSW) is a healthcare provider. based in Huntsville, Texas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 30569 (TX). The NPI Number for PAMELA MAINE JOHNSON (LCSW) is 1821205600

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
PAMELA MAINE JOHNSON (LCSW)
NPI
1821205600
Phone
(936) 661-4313
Address
1204 SAM HOUSTON AVE STE 7
Enumeration Date
17 May 2007
Last Update Date
23 February 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9366614313
Graduation Year
1996 (30 years ago)
PAC ID
9739236126
Professional Enrollment ID
I20090422000575
Address ID
TX775501689GA2121XSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,555 CLINICAL SOCIAL WORKER in TX

Provider Addresses for PAMELA MAINE JOHNSON (LCSW)

  • 1204 SAM HOUSTON AVE STE 7

    HUNTSVILLE, TX 773404601

    Phone: (936) 661-4313

    Type: Location

  • 231, Elmwood Street, Huntsville, Walker County, Texas, 77320, United States

    HUNTSVILLE, TX 773203407

    Phone: (936) 294-9751

    Fax: (936) 435-2223

    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: 2009-04-22

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
I20090422000575IClinical Social WorkerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77340)

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Reviews

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Frequently asked questions

What is the standard ID for PAMELA MAINE JOHNSON (LCSW) in the U.S.?
In the U.S., PAMELA MAINE JOHNSON (LCSW) is identified by NPI 1821205600.
Should I treat PAMELA MAINE JOHNSON (LCSW) as an active provider?
Patients and plans typically see PAMELA MAINE JOHNSON (LCSW) as active in the national extract.
Which specialty label fits PAMELA MAINE JOHNSON (LCSW)?
NPPES ties PAMELA MAINE JOHNSON (LCSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to PAMELA MAINE JOHNSON (LCSW)?
PAMELA MAINE JOHNSON (LCSW) is associated with Huntsville, Texas in the same public data insurers reference.
Who maintains PAMELA MAINE JOHNSON (LCSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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