Individual provider Active NPI

Aaron S Pawelek, L.C.S.W.

  • Clinical Social Worker
  • Salem, NH
National Provider Identifier
1063613677
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1877 Issued in NH
Practice address
15 Ermer Rd 215
Salem, NH 03079-1273
Phone
(603) 890-6767
Fax
(603) 893-6767
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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 1877 NH Primary

Addresses

Primary practice location

15 Ermer Rd 215
Salem, NH 03079-1273

Mailing address

15 Ermer Rd 215
Salem, NH 03079-1273
Phone (603) 890-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20151005002683 NH Practitioner - Clinical Social Worker 4082752415 Practice locations: Salem, NH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Ermer Rd
Suite 215
Salem, NH 03079-1273
Phone 6038906767107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1877NHMDClinical Social Worker
51551TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1063613677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ERMER RD 215",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030791273",
            "telephone_number": "603-890-6767",
            "fax_number": "603-893-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ERMER RD 215",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030791273",
            "telephone_number": "603-890-6767",
            "fax_number": "603-893-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWELEK",
        "first_name": "AARON",
        "middle_name": "S",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.