Provider Demographics
NPI:1285410720
Name:PAVLOVSKY, VICTORIA F (LSW, MSW)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:F
Last Name:PAVLOVSKY
Suffix:
Gender:F
Credentials:LSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9330 KUNGSHOLM DR APT E
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-1147
Mailing Address - Country:US
Mailing Address - Phone:463-336-6279
Mailing Address - Fax:
Practice Address - Street 1:4301 W 52ND ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-3706
Practice Address - Country:US
Practice Address - Phone:317-298-2780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-31
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool