Mirko Pavlek, L.C.S.W.-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

070808 Issued in NY

Practice address

75 Railroad PL
Saratoga Springs, NY 12866-2124

Phone

(518) 306-5126

NPI assigned

Jan 4, 2006

Last updated

Nov 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Saratoga Wellness LLC

  • Clinical Social Worker
  • Saratoga Springs, NY
  • NPI 1518234376
  Authorized official Same address or phone

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1790763431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 RAILROAD PL",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662124",
            "telephone_number": "518-306-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 RAILROAD PL",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662124",
            "telephone_number": "518-306-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLEK",
        "first_name": "MIRKO",
        "credential": "L.C.S.W.-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Caralynn Paton, PMHNP
• Patrick J. Szurek, PLLC
• Kimberly Welch Patterson, OTR
• Paul Anthony Chille DC & Patrice Anne Carroll DC
• Jeffrey T. Paul, M.D.
• Jama Lorynn Peacock Birsett, M.D.
• Peak Mountain Counseling LCSW, PLLC
• Peca Psychologist PLLC
• Theresa Anne Peca, PH.D.
• Meghan Elizabeth Peduto, MS, ATC

• Clinical Social Worker in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.