Peace at Last Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PEACE AT LAST THERAPY, LLC

Practice address

677 Woodland Square Loop SE
Lacey, WA 98503-1000

Phone

(206) 979-4005

NPI assigned

Aug 10, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Penelope N L Pavlinovic, LICSWNPI 1174050629

Title

Owner

Phone

(206) 979-4005

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Penelope Nancy Lynn Pavlinovic, LICSW

  • Clinical Social Worker
  • Lacey, WA
  • NPI 1174050629
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1184235632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SLEATER KINNEY RD SE STE B",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031113",
            "telephone_number": "206-979-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 WOODLAND SQUARE LOOP SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031000",
            "telephone_number": "206-979-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE AT LAST THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "PAVLINOVIC",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_middle_name": "N L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-979-4005",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER, REGENCE, TRICARE, PREMERA",
            "identifier": "1174050629",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanelle C Patrick, LMT
• Jacqueline Patterson
• Paulette Jo Patterson
• Sawyer Patton, CCC-SLP
• Penelope Nancy Lynn Pavlinovic, LICSW
• Peaceful Speech
• Diana M Peden
• Becky Marie Pedersen, LMHC
• Pediatric Emergency Care Providers PLLC
• Elizabet Pedraza de Lowe

• Clinical Social Worker in Lacey, WA
• Providers in Lacey, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.