Individual provider Active NPI

Gregory Pavlik, LCSW

  • Clinical Social Worker
  • Wayne, NJ
National Provider Identifier
1407862014
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04793000 Issued in NJ
Practice address
11 Colburn CT
Wayne, NJ 07470-8211
Phone
(973) 696-5668
Fax
(973) 305-8078
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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 44SC04793000 NJ Primary

Addresses

Primary practice location

11 Colburn CT
Wayne, NJ 07470-8211

Mailing address

11 Colburn CT
Wayne, NJ 07470-8211
Phone (973) 696-5668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050223000121 NJ Practitioner - Clinical Social Worker 0244283984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sakowitz Counseling, P.a.Group PAC ID 9335686195, 11 clinicians

Practice addresses (Care Compare)

61 Beaverbrook Rd
Suite 302
Lincoln Park, NJ 07035-1750
Phone (973) 696-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sakowitz Counseling PA CurrentSince Aug 1, 2024 Accepting new patients

Locations

61 Beaverbrook Rd
Ste 302
Lincoln Park, NJ 07035
Phone (973) 696-0800

Organizations & group practices 1

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1407862014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 COLBURN CT",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708211",
            "telephone_number": "973-696-5668",
            "fax_number": "973-305-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 COLBURN CT",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708211",
            "telephone_number": "973-696-5668",
            "fax_number": "973-305-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLIK",
        "first_name": "GREGORY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04793000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.