Pavlinovic, Penelope Nancy Lynn
Pavlinovic, Penelope Nancy Lynn is an individual health care provider with primary practice located at 700 Sleater Kinney Rd Se Ste B292 , Lacey WA 98503-1150. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Pavlinovic, Penelope Nancy Lynn can be contacted via phone (206) 976-4005.Contact Information
Primary practice address
700 Sleater Kinney Rd Se Ste B292
Lacey WA 98503-1150
Phone: (206) 976-4005
Fax: (360) 443-7570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 60606294 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 60606294 | Washington |
Profile Details
| NPI number | 1174050629 |
|---|---|
| LBN Legal business name | Pavlinovic, Penelope Nancy Lynn |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2017 |
| Last updated | Jul 21st, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174050629 | NPPES |
| Washington | Other | 901547890 | MEDICARE |
| Washington | MEDICAID | 901547890 | MEDICARE |
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