MRS. PAMELA YVETTE WILLIS (NPI# 1750337721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750337721 |
| Entity Type | Individual |
| Full Name | MRS. PAMELA YVETTE WILLIS |
| Credential | LCSW-C |
| Practice Address |
5310 Old Court Rd Ste. 308 Randallstown MD 21133-5243 |
| Mailing Address |
3930 Nemo Rd Randallstown MD 21133-4041 |
| Practice Telephone | 4438043707 |
| Practice Fax Number | 4105211944 |
| Mailing Telephone | 4438043707 |
| Mailing Fax Number | 4105211944 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2010-02-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
09716 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 404403700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528418654 | Pamela Willis | Speech-Language Pathologist | 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3389 | 2016-06-20 |
| 1033267125 | Pamela Hope Willis | Physical Therapy Assistant | 2300 Coleman Rd, Anniston, AL 36207-6824 | 2007-01-08 |
| 1265445290 | Pamela K Willis | Social Worker | 26 Midway, Bristol, TN 37620 | 2006-08-14 |
| Street Address |
5310 OLD COURT RD STE. 308 |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 21133-5243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518961598 | Eric Y Walker | Optometrist | 5310 Old Court Rd, Ste 103, Randallstown, MD 21133-5281 | 2005-06-08 |
| 1285245084 | Adore Health and Wellness | Social Worker | 5310 Old Court Rd, Randallstown, MD 21133-5243 | 2020-08-14 |
| 1235786658 | Andrea Nicole Randall | Social Worker | 5310 Old Court Rd, Randallstown, MD 21133-5243 | 2019-08-21 |
| 1265941900 | Donna M Saunders | Psychologist | 5310 Old Court Rd, Randallstown, MD 21133-5243 | 2017-09-26 |
| 1669847281 | Kingston C. Holcomb, Certified Counseling Associates, Inc. | Community/Behavioral Health | 5310 Old Court Rd, Randallstown, MD 21133-5243 | 2015-12-08 |
| 1811386626 | Steven Markow, Dds, PC | Clinic/Center | 5310 Old Court Rd, Suite 202, Randallstown, MD 21133-5243 | 2015-01-16 |
| 1023445103 | Raymonda Alfreda Adams | Social Worker | 5310 Old Court Rd, Suite 308 Office 1, Randallstown, MD 21133-5243 | 2013-10-03 |
| 1487937736 | Kingston Rashid Holcomb | Massage Therapist | 5310 Old Court Rd, Suite 308, Randallstown, MD 21133-5243 | 2011-09-23 |
| 1780977496 | Counselingworks LLC | Social Worker | 5310 Old Court Rd, Suite 308, Randallstown, MD 21133-5243 | 2011-05-27 |
| 1972802890 | Temitope S Williams | Nurse Practitioner | 5310 Old Court Rd, Randallstown, MD 21133-5243 | 2011-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898313 | Olivia David | Registered Nurse | 3525 Liberty Resource Drive, Randallstown, MD 21133 | 2020-07-09 |
| 1366082547 | Jerry Njomgert Christopher | Home Health Aide | 9106 Sandra Ct. Randallstown, Randallstown, MD 21133 | 2020-01-15 |
| 1487138913 | For Hope's Sake, LLC | Substance Abuse Rehabilitation Facility | 9905 Southhall Road, Randallstown, MD 21133 | 2018-09-20 |
| 1295214393 | Levindale Hebrew Geriatric Center & Hospital Inc | Clinic/Center | Lifebridge Health Adult Day Services, 5400 Old Court Road, Randallstown, MD 21133 | 2018-08-09 |
| 1235623968 | Away of Change Counseling Service, LLC | Counselor | 5310 Old Court Rd Ste 304, Randallstown, MD 21133 | 2018-06-16 |
| 1922503382 | Top Care Residential Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8607 Liberty Rd, Randallstown, MD 21133 | 2018-03-28 |
| 1497274880 | Yushika M Shepherd | In Home Supportive Care | 8911 Allenswood Rd, Randallstown, MD 21133 | 2017-09-17 |
| 1790208718 | Productive Lives Mental Health, LLC | Clinic/Center | Randallstown Medical Center 5310 Old Court Rd Suite 308, Randallstown, MD 21133 | 2017-07-21 |
| 1982136198 | Marla Rosanne Yee | Dentist | 5415 Old Court Road, Suite 01, Randallstown, MD 21133 | 2017-03-28 |
| 1598203549 | Traci Harris | Social Worker | 9633 Liberty Rd. (suites H&j), Randallstown, MD 21133 | 2017-02-09 |
| Find all providers in zip 21133 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457915282 | Seasons Therapy Services, LLC | Social Worker | 9026 Allenswood Rd, Randallstown, MD 21133-3731 | 2019-04-26 |
| 1114581972 | Ibiyinka Morayo Kolawole | Social Worker | 9435 Silver Charm Dr, Randallstown, MD 21133-4600 | 2019-04-26 |
| 1528621224 | Victoria Eneremadu | Social Worker | 9531 Wesland Cir, Randallstown, MD 21133-2040 | 2019-04-17 |
| 1598203549 | Traci Harris | Social Worker | 9633 Liberty Rd. (suites H&j), Randallstown, MD 21133 | 2017-02-09 |
| 1962944843 | Stepsto Wellness Therapeutic Services,llc | Social Worker | 3227 North Rolling Rd, 2-c, Randallstown, MD 21244 | 2016-11-09 |
| 1861856205 | Akiba Freeman | Social Worker | 3508 Kings Point Rd, Randallstown, MD 21133-1606 | 2016-04-12 |
| 1215321179 | Rita N Agugoesi | Social Worker | 4114 Brown Bark Circle, Randallstown, MD 21133 | 2015-03-27 |
| 1679902100 | Shari Yoder | Social Worker | 3926 Noyes Cir Apt 101, Randallstown, MD 21133-2767 | 2013-11-05 |
| 1346569803 | Stanley Linthicum Sr. | Social Worker | 3916 Sybil Rd, Randallstown, MD 21133-4021 | 2010-05-24 |
| 1467783670 | Deborah Pierson | Social Worker | 9006 Liberty Road, Suite 2, Randallstown, MD 21133-3931 | 2010-01-28 |
| Find all providers in RANDALLSTOWN | ||||
| City | RANDALLSTOWN |
| Zip Code | 21133 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.