Pamela Pawelski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.024619 Issued in IL

Practice address

825 N Cass Ave Ste 112
Westmont, IL 60559-6401

Phone

(630) 318-0012

NPI assigned

Nov 26, 2019

Reactivated

Jun 25, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 15, 2023 through Sep 15, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• True Self in Progress, P.C.

  • Clinical Social Worker
  • Westmont, IL
  • NPI 1407552573
  NPD Authorized official

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686441600000",
    "number": "1851937742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15025 S DES PLAINES ST",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441801",
            "telephone_number": "630-428-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N CASS AVE STE 112",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605596401",
            "telephone_number": "630-318-0012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24012 W Main St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605442227",
            "country_code": "US",
            "telephone_number": "630-318-0012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAWELSKI",
        "first_name": "PAMELA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2023-06-11",
        "certification_date": "2023-06-11",
        "deactivation_date": "2020-02-03",
        "reactivation_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024619",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.103968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shilam Shirish Patel, DMD
• Yogitaben Deepakkumar Patel
• Paul Santangelo, DPM, PC
• Emma C Paul, DPT
• Alysia Pavlenko Medina, LPC
• Szechuan Z Payne
• Karen A Pecha, LCSW
• Laura Catherine Peppers, D.C.
• Manasa K Perera, PHD
• Itay Perets, SA

• Clinical Social Worker in Westmont, IL
• Providers in Westmont, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.