Individual provider Active NPI

Stephen Pavlas

  • Clinical Social Worker
  • Danvers, MA
National Provider Identifier
1124458724
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
152 Sylvan St FL 2
Danvers, MA 01923-3581
Phone
(978) 774-6820
NPI assigned
Nov 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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 Primary

Addresses

Primary practice location

152 Sylvan St FL 2
Danvers, MA 01923-3581

Mailing address

152 Sylvan St FL 2
Danvers, MA 01923-3581
Phone (978) 774-6820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20200102001020 MA Practitioner - Clinical Social Worker 0446684278 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wilmington Family Counseling Service Inc 11 clinicians

Practice addresses (Care Compare)

5 Middlesex Ave
Unit 11
Wilmington, MA 01887-2745
Phone (978) 658-9889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charitable Bureau of the Archdiocese of Boston, Inc. CurrentSince Jan 6, 2020 Accepting new patients
Beacon Counseling Services CurrentSince Jan 1, 2024 Accepting new patients
Catholic Charitable Bureau of the Archdiocesse of Boston, Inc. Dba CurrentSince Jan 6, 2020 Accepting new patients
Wilmington Family Counseling Service Inc CurrentSince May 9, 2023 Accepting new patients
Catholic Charities Past Accepting new patients

Locations

900 Cummings Ctr
Ste 408U
Beverly, MA 01915
Phone (978) 473-1346

152 Sylvan St
Danvers, MA 01923
Phone (800) 804-5041

152 Sylvan St
Fl 2
Danvers, MA 01923
Phone (978) 774-6820

280 Washington St
Salem, MA 01970
Phone (978) 740-6923

275 W Broadway
South Boston, MA 02127
Phone (617) 268-9670

5 Middlesex Ave
Unit 11
Wilmington, MA 01887
Phone (978) 658-9889

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1124458724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 SYLVAN ST FL 2",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233581",
            "telephone_number": "978-774-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 SYLVAN ST FL 2",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233581",
            "telephone_number": "978-774-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLAS",
        "first_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.