Abbey Pelosi Counseling, PLLC

Organization Active NPI Clinical Social Worker · Cedar Park, TX

NPI 1497272934 · NPPES record last updated Aug 2, 2022

Key facts

NPI
1497272934
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
License
57208 (TX)
Legal business name
ABBEY PELOSI COUNSELING, PLLC
Practice address
1603 Medical Pkwy Ste 320
Cedar Park, TX 78613-7904
Phone
(512) 827-8601
NPI assigned
Aug 25, 2017
Organization subpart
No

Authorized official

Name
Abbey Pelosi, LCSW-S
Title
Therapist
Phone
(512) 827-8601

Practitioners 2

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180119000198 TX Part B Supplier - Clinic/Group Practice 4385903327 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Park, TX

National Provider Directory

Locations

13740 Research Blvd
Ste B2
Austin, TX 78750
Phone (512) 565-4433

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X 57208 TX Yes

Addresses

Primary practice location

1603 Medical Pkwy Ste 320
Cedar Park, TX 78613-7904

Mailing address

1603 Medical Pkwy Ste 320
Cedar Park, TX 78613-7904
Phone (512) 827-8601

Other providers in Cedar Park, TX

All providers in Cedar Park, TX · Clinical Social Worker in Texas

Sources for this page

Verify at the official NPI Registry.