Active NPI
Theresa Pawlowski, LCSW-R
- Social Worker
- Buffalo, NY
National Provider Identifier
1174536403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 064942-1
- Practice address
- 625 Delaware Ave
Suite 204, Linwood Community Services
Buffalo, NY 14202 - Phone
- (716) 882-3151
- Fax
- (716) 886-4002
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 064942-1 | NY | Primary |
Addresses
Primary practice location
625 Delaware Ave
Suite 204, Linwood Community Services
Buffalo, NY 14202
Mailing address
625 Delaware Ave
Suite 204, Linwood Community Services
Buffalo, NY 14202
Phone (716) 882-3151
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071895-1 | Other | NY | LCSW |
| 064942-1 | Other | NY | LMSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064942-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303776000000",
"number": "1174536403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 DELAWARE AVE",
"address_2": "SUITE 204, LINWOOD COMMUNITY SERVICES",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14202",
"telephone_number": "716-882-3151",
"fax_number": "716-886-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 DELAWARE AVE",
"address_2": "SUITE 204, LINWOOD COMMUNITY SERVICES",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14202",
"telephone_number": "716-882-3151",
"fax_number": "716-886-4002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAWLOWSKI",
"first_name": "THERESA",
"name_prefix": "Ms.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2011-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "064942-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "071895-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMSW",
"identifier": "064942-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.