Individual provider Active NPI

Abbey Christine Pelosi, LCSW-S

  • Clinical Social Worker
  • Cedar Park, TX
National Provider Identifier
1023535978
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
57208 Issued in TX
Practice address
1603 Medical Pkwy Ste 320
Cedar Park, TX 78613-7904
Phone
(512) 827-8601
Fax
(512) 872-5294
NPI assigned
Aug 22, 2017
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 57208 TX Primary

Addresses

Primary practice location

1603 Medical Pkwy Ste 320
Cedar Park, TX 78613-7904

Mailing address

1603 Medical Pkwy Ste 320
Cedar Park, TX 78613-7904
Phone (512) 827-8601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180119001885 TX Practitioner - Clinical Social Worker 3375802358 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abbey Pelosi Counseling, PLLC Clinical CurrentSince Oct 1, 2017 Accepting new patients

Locations

1603 Medical Pkwy
Ste 320
Cedar Park, TX 78613
Phone (512) 761-8746

595 Round Rock West Dr
Ste 501
Round Rock, TX 78681
Phone (512) 647-2761

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1023535978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 MEDICAL PKWY STE 320",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137904",
            "telephone_number": "512-827-8601",
            "fax_number": "512-872-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 MEDICAL PKWY STE 320",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137904",
            "telephone_number": "512-827-8601",
            "fax_number": "512-872-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELOSI",
        "first_name": "ABBEY",
        "middle_name": "CHRISTINE",
        "credential": "LCSW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "57208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.