Active NPI
Cathy George Pavlic
- Clinical Social Worker
- Lufkin, TX
National Provider Identifier
1538760806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 55913
- Practice address
- 617 S 1St St
Lufkin, TX 75901-3933 - Phone
- (936) 249-6160
- NPI assigned
- Nov 3, 2020
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 55913 | TX | Primary |
Addresses
Primary practice location
617 S 1St St
Lufkin, TX 75901-3933
Mailing address
617 S 1St St
Lufkin, TX 75901-3933
Phone (936) 249-6160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1538760806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 S 1ST ST",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759013933",
"telephone_number": "936-249-6160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 S 1ST ST",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759013933",
"telephone_number": "936-249-6160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLIC",
"first_name": "CATHY",
"middle_name": "GEORGE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "55913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
- Bhavna Patel
- Harshil Anurag Patel, MD
- Pathways Forensic & Mental Health Services, PLLC
- Patricia McAdams MD PA (Ear Nose and Throat Clinic of Lufkin)
- John M Patterson, DDS
- Justin Daniel Pavlic, FNP, RN
- Katie Pavlic, LPC
- Jenifer Paypa
- Prasad K Peddu, M.D.
- Pediatric Behavioral Specialist of East Texas, LLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.