Individual provider Active NPI

John J Pavco, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1730425372
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50079601 Issued in DC
Practice address
1627 K Street NW
Suite 500
Washington, DC 20006-1708
Phone
(703) 628-2495
NPI assigned
Jan 1, 2013
Last updated
Feb 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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 LC50079601 DC Primary

Addresses

Primary practice location

1627 K Street NW
Suite 500
Washington, DC 20006-1708

Mailing address

1414 Belmont Street
Apt 306
Washington, DC 20009-6636
Phone (703) 628-2495

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 12, 2016 through Aug 12, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC50079601DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
John Pavco LLC Clinical CurrentSince Feb 9, 2020 Accepting new patients

Locations

1627 K St NW
Ste 500
Washington, DC 20006
Phone (202) 515-1993

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1356998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1730425372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 BELMONT STREET",
            "address_2": "APT 306",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200096636",
            "telephone_number": "703-628-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 K STREET NW",
            "address_2": "SUITE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061708",
            "telephone_number": "703-628-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVCO",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-01",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.