Active NPI
Stephen Pavlas
- Clinical Social Worker
- Danvers, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charitable Bureau of the Archdiocese of Boston, Inc. | Current | Accepting new patients | |
| Beacon Counseling Services | Current | Accepting new patients | |
| Catholic Charitable Bureau of the Archdiocesse of Boston, Inc. Dba | Current | Accepting new patients | |
| Wilmington Family Counseling Service Inc | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wilmington, MA
- NPI 1922043447
MA
-
- Community/Behavioral Health Agency
- South Boston, MA
- NPI 1003979014
MA
-
- Home Health Agency
- South Boston, MA
- NPI 1093723652
-
- Voluntary or Charitable Agency
- Danvers, MA
- NPI 1730403155
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.