Emily E Pavlick, LCSW-C
Individual provider Active NPI Clinical Social Worker · Poolesville, MD
NPI 1962060145 · NPPES record last updated Aug 20, 2021
Key facts
- NPI
- 1962060145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 24837 (MD)
- Practice address
- 18008 Bliss Dr
Poolesville, MD 20837-2401 - Phone
- (301) 793-9915
- NPI assigned
- Jun 3, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24837 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bewell Community Health, Inc. | Clinical | Current | Accepting new patients |
| Bewell Therapy Group, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 24837 | MD | |
| Clinical Social Worker | 1041C0700X | 24837 | MD | Yes |
Addresses
Primary practice location
18008 Bliss Dr
Poolesville, MD 20837-2401
Mailing address
18008 Bliss Dr
Poolesville, MD 20837-2401
Phone (301) 793-9915
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 889066800 | Medicaid | MD |
Other providers in Poolesville, MD
- Stephanie Lynn McKenney Groff
- MD Sleep Solutions LLC
- Robin Mevissen
- Nurturing Minds Healthcare Services LLC
- Sarah Merie Paksima
- Poolesville Family Practice LLC
- Poolesville Physical Therapy
- Poolesville Vision and Contact Lens Service
- Possible Rays Wellness, LLC
- Emma Ridgway
All providers in Poolesville, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.