MEDICARE: CARLOS PAVON LMSW

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	108211	TX
2	1041C0700X	Clinical Social Worker	SWB-2022-0439	NM

General Provider Information

NPI Number	:	1922734284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS PAVON LMSW

Provider Business Mailing Address
First Line	:	701 FM 685 STE 450
Second Line	:
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660-7095
Country	:	US
Telephone Number	:	512-501-2782
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 FM 685 STE 450
Second Line	:
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660-7095
Country	:	US
Telephone Number	:	512-501-2782
Fax Number	:

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

Provider Enumeration Date	:	07/28/2022
Last Update Date	:	09/26/2025

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Directions to “ CARLOS PAVON LMSW” Practice Location

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