Active NPI
Elizabeth Dowell Pascoe, LCSW
- Clinical Social Worker
- Orange Park, FL
National Provider Identifier
1003846114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW8104
- Practice address
- 133 Stowe Ave
Orange Park, FL 32073-5652 - Phone
- (904) 269-0886
- Fax
- (904) 269-0499
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW8104 | FL | Primary |
Addresses
Primary practice location
133 Stowe Ave
Orange Park, FL 32073-5652
Mailing address
133 Stowe Ave
Orange Park, FL 32073-5652
Phone (904) 269-0886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2022 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW8104 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003846114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 STOWE AVE",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735652",
"telephone_number": "904-269-0886",
"fax_number": "904-269-0499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 STOWE AVE",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735652",
"telephone_number": "904-269-0886",
"fax_number": "904-269-0499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCOE",
"first_name": "ELIZABETH",
"middle_name": "DOWELL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW8104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.