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PENELOPE NANCY LYNN PAVLINOVIC LICSW
NPI 1174050629
Social Worker - Clinical in Lacey, WA

Active since May 16, 2017PECOS EnrolledAccepts Medicare Assignment
677 WOODLAND SQUARE LOOP SE, LACEY, WA 98503(206) 979-4005 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2024, Jul 21, 2021, Jul 14, 2021 and 2 more (5 updates tracked since 2017).

About Penelope Nancy Lynn Pavlinovic Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENELOPE NANCY LYNN PAVLINOVIC LICSW (NPI 1174050629) is an individual clinical provider in Lacey, Washington, licensed in Washington (60606294) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1174050629
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePENELOPE NANCY LYNN PAVLINOVICCredential: LICSW
Location Address677 WOODLAND SQUARE LOOP SELacey, WA 98503-1000
Mailing Address677 Woodland Square Loop SeLacey, WA 98503-1000 · (206) 979-4005
Phone(206) 979-4005
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMay 16, 2017
Last NPPES UpdateJuly 22, 20245 updates tracked since enumeration
NPPES CertifiedJuly 21, 2021
✔ NPI 1174050629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · 60606294
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
677 WOODLAND SQUARE LOOP SE, Lacey, WA 98503
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Other Identifiers 2

Other901547890WA · Medicare
Medicaid901547890WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Penelope Nancy Lynn Pavlinovic Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345644217
PECOS Enrollment IDI20210920001966
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASPIRE INC
Marriage & Family Therapist
677 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Thurston County (360) 820-2934
DR. NATASHA HAYS MD
Pediatrics (Developmental - Behavioral Pediatrics)
677 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Thurston County (541) 600-4131
HOLLY M BLUE LMFTA
Marriage & Family Therapist
677 WOODLAND SQUARE LOOP SE, #A - 4
LACEY, WA 98503
Thurston County (360) 915-2497
PEACE AT LAST THERAPY, LLC
Social Worker (Clinical)
677 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Thurston County (206) 979-4005
MS. HEATHER J JOHNSON M.A
Marriage & Family Therapist
677 WOODLAND SQUARE LOOP SE, SUITE 1 & 4
LACEY, WA 98503
Thurston County (360) 820-2934
SCHMITZ OCCUPATIONAL THERAPY SERVICES PLLC
Occupational Therapist
677 WOODLAND SQUARE LOOP SE, SUITE D-8
LACEY, WA 98503
Thurston County (360) 539-8801
KERRI STOEHR
Counselor
677 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Thurston County (360) 455-1177
MICHELLE MARIE MOODY L.M.P.
Massage Therapist
677 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Thurston County (360) 791-7861

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Penelope Pavlinovic's NPI number?

The NPI number for Penelope Pavlinovic is 1174050629. It was assigned to this individual provider in the NPPES registry on May 16, 2017.

Where is Penelope Pavlinovic located?

Penelope Pavlinovic practices at 677 Woodland Square Loop SE, Lacey, WA 98503. The listed phone number is (206) 979-4005.

What is Penelope Pavlinovic's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Penelope Pavlinovic enrolled in Medicare?

Yes. Penelope Pavlinovic is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Penelope Pavlinovic accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Penelope Pavlinovic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Penelope Pavlinovic was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.