Pacella Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PACELLA COUNSELING LLC

Practice address

2465 Demere Rd Ste 209
St Simons Island, GA 31522-1630

Phone

(912) 580-0010

NPI assigned

Dec 18, 2024

Organization subpart

No

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

Authorized official

Name

Gwen Pacella, LCSWNPI 1952083503

Title

Owner

Phone

(912) 580-0010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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

• Gwen Jean Pacella, LCSW

  • Clinical Social Worker
  • St Simons Island, GA
  • NPI 1952083503
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1821805250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 RIVERVIEW DR",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222011",
            "telephone_number": "912-580-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 DEMERE RD STE 209",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221630",
            "telephone_number": "912-580-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACELLA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "PACELLA",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-580-0010",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nutrisource Nutritional Services, Inc.
• Shannon Dawn O'Quinn, PTA
• Nancy L Ogletree, PH.D.
• Rainey Reanna Olliff, PA-C
• Frances L Owen, M.D.
• Gwen Jean Pacella, LCSW
• Mary Rainey Parker, PT
• Pediatrics of Glynn on the Island
• Performance Physio LLC
• Melinda H Peterlin, MD

• Clinical Social Worker in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.