| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
Jaylin Lucas, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3020 Willamette Dr Ne, Lacey, WA 98516 Phone: 360-493-7469 | |
Mollie A Rundstrom, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4160 6th Ave Se, Lacey, WA 98503 Phone: 360-259-7179 | |
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 | |
Serina Olivares, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4232 6th Ave Se Ste 101, Lacey, WA 98503 Phone: 206-484-2216 | |
Ms. Christine Mcmahon, LCSW; LICSW Clinical Social Worker Medicare: Medicare Enrolled 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 |