Penelope Nancy Lynn Pavlinovic, LICSW | |
677 Woodland Square Loop Se, Lacey, WA 98503-1000 | |
(206) 979-4005 | |
Not Available |
Full Name | Penelope Nancy Lynn Pavlinovic |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 677 Woodland Square Loop Se, Lacey, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174050629 | NPI | - | NPPES |
901547890 | Other | WA | MEDICARE |
901547890 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 60606294 (Washington) | Primary |
Entity Name | Peace At Last Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184235632 PECOS PAC ID: 8123428752 Enrollment ID: O20210814000461 |
Mailing Address | Practice Location Address |
---|---|
Penelope Nancy Lynn Pavlinovic, LICSW 677 Woodland Square Loop Se, Lacey, WA 98503-1000 Ph: (206) 979-4005 | Penelope Nancy Lynn Pavlinovic, LICSW 677 Woodland Square Loop Se, Lacey, WA 98503-1000 Ph: (206) 979-4005 |
Kristina Noel Callender, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 677 Woodland Square Loop Se Unit A-16, Lacey, WA 98503 Phone: 360-999-8467 | |
Ms. Christine Mcmahon, LCSW; LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7031 Mullen Rd Se, Lacey, WA 98503 Phone: 516-312-9939 | |
Sejahdah Brianna Brimmer, LSWAIC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 719 Sleater Kinney Rd Se, Lacey, WA 98503 Phone: 360-528-0035 | |
Kassandra Young, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 612 Woodland Square Loop Se Ste 40, Lacey, WA 98503 Phone: 360-754-1338 | |
Cary C Reid, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6763 Steamer Dr Se, Lacey, WA 98513 Phone: 907-738-9700 | |
Kristen Brundage, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2803 Saga Ct Ne, Lacey, WA 98516 Phone: 719-210-2301 |