Roseann Pawlyszyn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012957 Issued in NC

Practice address

204 Jefferson St Ste 106
N Wilkesboro, NC 28659-3586

Phone

(336) 838-1644

Fax

(336) 667-7720

NPI assigned

Aug 23, 2017

Last updated

Apr 14, 2020By the provider in NPPES

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 NC

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carenet IncGroup PAC ID 6406845262, 40 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carenet, Inc.

  dba Baptist Hospital Carenet Counseling Centers

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1043424013
  Medicare reassignment Care Compare group NPD
• Carenet Inc

  • Professional Counselor
  • Winston Salem, NC
  • NPI 1376432492
  NPD
• Carenet, Inc.

  dba Baptist Hospital Carenet Counseling Centers

  • Mental Health Counselor
  • North Wilkesboro, NC
  • NPI 1760696736
  NPD
• Carenet, Inc

  • Professional Counselor
  • Lexington, NC
  • NPI 1659946804
  NPD (past)
• Carenet, Inc.

  dba CareNet Counseling

  • Mental Health Counselor
  • North Wilkesboro, NC
  • NPI 1598235087
  NPD (past)

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1083131841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 EDMISTON LN",
            "city": "BOOMER",
            "state": "NC",
            "postal_code": "286068133",
            "telephone_number": "828-406-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 JEFFERSON ST STE 106",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286593586",
            "telephone_number": "336-838-1644",
            "fax_number": "336-667-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLYSZYN",
        "first_name": "ROSEANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Carolina CVS Pharmacy LLC (CVS Pharmacy #03525)
• Northwest Orthopaedic Assoc PA
• Novant Health Medical Group, LLC (Novant Health Cancer Institute)
• Novant Health Medical Group, LLC (Novant Health Brain & Spine Surgery)
• Novant Health Medical Group, LLC (Novant Health Pain Management)
• Procare Medical Clinic PLLC
• Restored Youth Services, LLC
• Rebecca Lynn Russell, MS CCC-SLP
• Andrew Schrag
• Patricia Flye Segee, LPA

• Clinical Social Worker in N Wilkesboro, NC
• Providers in N Wilkesboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.