MEDICARE: CLARAGRACE PAVELKA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	127897	NY

General Provider Information

NPI Number	:	1528991627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARAGRACE PAVELKA

Provider Business Mailing Address
First Line	:	509 W 110TH ST APT 12E
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-2038
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	509 W 110TH ST APT 12E
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-2038
Country	:	US
Telephone Number	:	361-537-3038
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

Similar Medicare Providers

1235505959 — MS. SHERIN JOSEPH MA, RD, CDN
Practice Location Address:

224 W 35TH ST. STE. 500 #2038
NEW YORK, NY
10001-5089

Practice Phone: 832-283-7530
Practice Fax:

1558166470 — MRS. COLLEEN ZIEMBA RD
Practice Location Address:

2248 BROADWAY # 2038
NEW YORK, NY
10024-5805

Practice Phone: 610-737-4650
Practice Fax:

1891828893 — KAREN B. WASKO, D.M.D.
Practice Location Address:

533 N YORK RD
HATBORO, PA
19040-2038

Practice Phone: 215-672-9444
Practice Fax: 215-672-9144

1215263645 — ADVANCED DENTAL SMILES
Practice Location Address:

533 N YORK RD
HATBORO, PA
19040-2038

Practice Phone: 215-672-9444
Practice Fax: 215-672-9144

1932178928 — GEORGE J HALKO D.O.
Practice Location Address:

547 NEW RD STE A
SOMERS POINT, NJ
08244-2038

Practice Phone: 609-267-9400
Practice Fax: 609-927-1616

1457380180 — DR. CHRISTOPHER M LAROSA DPM
Practice Location Address:

547 NEW RD
SOMERS POINT, NJ
08244-2038

Practice Phone: 609-267-9400
Practice Fax: 609-927-1616

Directions to “ CLARAGRACE PAVELKA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.