Pamela J. Pater-Ennis, LCSW,M.DIV., PHD
NPI 1174656409ActiveIndividual· Social Worker, Clinical· Bergenfield, NJ
Social Worker, Clinical (LCSW,M.DIV., PHD) in Bergenfield, New Jersey, licensed in NJ and NY, with an NPI issued in March 2007. Medicare paid $46,060 for services to 24 patients in 2024.
Overview
| NPI | 1174656409 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW,M.DIV., PHD |
| Sole proprietor | Yes |
| NPI issued | Mar 14, 2007 |
| Last updated in NPPES | Dec 18, 2019 |
| Certified by provider | Dec 18, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 44SC05339100 | NJ |
| Counselor, Pastoral | 101YP1600X | — | — |
| Social Worker, Clinical | 1041C0700X | R042224-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 24 |
|---|---|
| Services billed | 521 across 4 procedure codes |
| Paid by Medicare | $46,060 |
Education and affiliations
| Graduation year | 1983 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
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