Individual provider Active NPI

Frank J Pavone, LCSW

  • Clinical Social Worker
  • Temecula, CA
National Provider Identifier
1346893872
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW87967 Issued in CA
Practice address
29748 Rancho California Rd
Temecula, CA 92591-5286
Phone
(951) 252-9911
Fax
(951) 695-6215
NPI assigned
Jul 23, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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 LCSW87967 CA Primary

Addresses

Primary practice location

29748 Rancho California Rd
Temecula, CA 92591-5286

Mailing address

31611 Whitedove LN
Murrieta, CA 92563-6211
Phone (951) 760-3206

Other practice location 1

31611 Whitedove Ln
Murrieta, CA 92563-6211
Phone (951) 760-3206

Other practice location 2

31611 Whitedove Ln
Murrieta, CA 92563-6211
Phone (951) 760-3206

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW87967CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Novell & Novell Counseling CurrentSince Sep 25, 2019 Accepting new patients
Novell & Novell Counseling Services, Inc. Clinical PastSince Sep 25, 2019 Accepting new patients

Locations

29748 Rancho California Rd
Temecula, CA 92591
Phone (951) 252-9911

Organizations & group practices 2

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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1346893872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31611 WHITEDOVE LN",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925636211",
            "telephone_number": "951-760-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29748 RANCHO CALIFORNIA RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915286",
            "telephone_number": "951-252-9911",
            "fax_number": "951-695-6215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31611 Whitedove Ln",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925636211",
            "country_code": "US",
            "telephone_number": "951-760-3206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31611 Whitedove Ln",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925636211",
            "country_code": "US",
            "telephone_number": "951-760-3206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVONE",
        "first_name": "FRANK",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW87967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.