Teresa L Pavish-Paradiso, MSW/LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00004220 Issued in WA

Practice address

Walla Walla Vamc
77 Wainwright Drive
Walla Walla, WA 99362-3975

Phone

(509) 525-5200

Fax

(509) 527-3463

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891880167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WALLA WALLA VAMC",
            "address_2": "77 WAINWRIGHT DRIVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623975",
            "telephone_number": "509-525-5200",
            "fax_number": "509-527-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALLA WALLA VAMC",
            "address_2": "77 WAINWRIGHT DRIVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623975",
            "telephone_number": "509-525-5200",
            "fax_number": "509-527-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVISH-PARADISO",
        "first_name": "TERESA",
        "middle_name": "L",
        "credential": "MSW/LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roshan Patel, MD
• Tamara Nicole Patrick, PT,DPT
• Kristan Ann Patterson-Fowler, LICSW
• Barry Patzer
• Shelby Paulsen
• Keith Edward Payne, LMHC
• Adina B Pearson, RD
• Bonnie Pearson, R.N.
• Randolph C Pearson, D.D.S.
• Esmeralda Jazmine Pedroza

• Clinical Social Worker in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.