MR. FREDERICK WILLIAM PENCE LSW
NPI 1619728722
Social Worker - Clinical in Crown Point, IN

Q: What is Frederick Pence's NPI number?

The NPI number for Frederick Pence is 1619728722. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Q: What is Frederick Pence's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Frederick Pence was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since March 27, 2024PECOS Enrolled

2100 N MAIN ST # 304, CROWN POINT, IN 46307(574) 546-1900(574) 546-1999 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2026, Feb 5, 2025 (2 updates tracked since 2025).

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About Mr. Frederick William Pence Lsw NPPES

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

MR. FREDERICK WILLIAM PENCE LSW (NPI 1619728722) is an individual clinical provider in Crown Point, Indiana, licensed in Indiana (34011893A) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619728722

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. FREDERICK WILLIAM PENCECredential: LSW

Location Address2100 N MAIN ST # 304Crown Point, IN 46307-1877

Mailing Address4911 Parkside Ave NPhiladelphia, PA 19131-2609

Phone(574) 546-1900

Fax(574) 546-1999

Sole ProprietorNo

Enumeration DateMarch 27, 2024

Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2026

✔ NPI 1619728722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IN · 34011893A

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.

Also ListedSocial WorkerTaxonomy 104100000X · License SW130934 (PA)

2100 N MAIN ST # 304, Crown Point, IN 46307

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Frederick William Pence Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 46307 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 $53.07 – $161.76

Typical copayment $0.00 (range $13.26 – $40.44)

Most-billed visit code NA

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

MS. YVETTE MONIQUE CAVINESS-KELLEY FNP-BC

Nurse Practitioner (Family)