Vanessa Lynn Paelicke, L.C.S.W.
Individual provider Active NPI Clinical Social Worker · Seabrook, TX
NPI 1740317494 · NPPES record last updated Apr 4, 2016
Key facts
- NPI
- 1740317494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 37258 (TX)
- Practice address
- 2413 La Rochelle CT
Seabrook, TX 77586-8315 - Phone
- (281) 326-3638
- Fax
- (281) 326-3638
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070831000437 | TX | Practitioner - Clinical Social Worker | 2062505365 |
Receives reassigned benefits from 2 practitioners Practice locations: Texas City, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37258 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Treatment Solutions | Clinical | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 37258 | TX | Yes |
Addresses
Primary practice location
2413 La Rochelle CT
Seabrook, TX 77586-8315
Mailing address
2413 La Rochelle CT
Seabrook, TX 77586-8315
Phone (281) 326-3638
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1870776-01 | Medicaid | TX |
Other providers in Seabrook, TX
- John James Mustachia III
- Blanca Diez Nahmias
- William Eugene Nelson
- Theresa Nguyen
- Orthopaedic Movement Specialists of America PLLC
- Susan Young Park
- Virendra Jashbhai Patel
- Bernard Michael Patten
- Paul'S Farm Inc.
- Emily Paultz
All providers in Seabrook, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.