Jamie Eleyna Pavlou, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

108121 Issued in NY

Practice address

441 W 26TH St
New York, NY 10001-5699

Phone

(201) 790-1364

NPI assigned

Sep 18, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Hudson GuildGroup PAC ID 0345139887, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hudson Guild

  • Mental Health Counselor
  • New York, NY
  • NPI 1194873745
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1013687227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4738 11TH ST APT 8",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015544",
            "telephone_number": "201-790-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 W 26TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015699",
            "telephone_number": "201-790-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLOU",
        "first_name": "JAMIE",
        "middle_name": "ELEYNA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-18",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "108121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Pavlatos, PMHNP
• Anna Pavlick, DO
• Mekala Poppy Pavlin, LCSW
• Lilly Pavlinovic, PHD
• Jamie Michelle Pavlonnis, NP
• Estee Pavlounis, M.D.
• Helene Pavlov, M.D.
• Margaret Pavlov
• Maria Candela Pavlovsky I
• Mary Kathryn Pavol, PHD

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.