Corey Patrick Pavelka, LCSW is a
Social Worker - Clinical based in Granbury, Texas. Corey Patrick Pavelka is licensed to practice in Texas (license number 55382) and his current practice location is
2111 W Highway 377, Granbury, Texas. He can be reached at his office (for appointments etc.) via phone at
(817) 573-6002.
NPI number for Corey Patrick Pavelka is 1225389901 and his current mailing address is 949 Sherry Ln, Saginaw, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225389901.
Healthcare Provider's Profile
| Full Name | Corey Patrick Pavelka |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2111 W Highway 377, Granbury, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225389901
- Provider Enumeration Date: 09/21/2012
- Last Update Date: 05/27/2016
Medical Identifiers
Medical identifiers for Corey Patrick Pavelka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225389901 | NPI | - | NPPES |
| 148686201 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 55382 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 55382 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Corey Patrick Pavelka is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Corey Patrick Pavelka, LCSW
949 Sherry Ln,
Saginaw, TX 76179-0979
Ph: (817) 676-2422 | Corey Patrick Pavelka, LCSW
2111 W Highway 377,
Granbury, TX 76048-5627
Ph: (817) 573-6002 |
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