Jeannette Pavlus, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

108798-01 Issued in NY

Practice address

2307 Genesee St
Utica, NY 13501-6107

Phone

(315) 223-8889

NPI assigned

Feb 14, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

• New Hartford Psychological Services, PC

  • Community/Behavioral Health Agency
  • New Hartford, NY
  • NPI 1558559849
  NPD

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1104459510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016107",
            "telephone_number": "315-223-8889",
            "fax_number": "315-223-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016107",
            "telephone_number": "315-223-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLUS",
        "first_name": "JEANNETTE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "108798-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Adam Pauley, MSW, LCSW
• Dolly Paulino
• Jack Paute Urdiales
• Robert Pavelock, M.D.
• Melissa J Pavlicek
• Jenna Pawloski, FNP-C
• Jeffrey Allan Peck, D.D.S
• Faith Nicole Peckham
• Marshall E Pedersen, M.D.
• Kathryn Marie Pedone, CF-SLP, M.S., TSSLD

• Clinical Social Worker in Utica, NY
• Providers in Utica, 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 Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.