Individual provider Active NPI

Laurie Patterson, LCSW

  • Clinical Social Worker
  • Upper Darby, PA
National Provider Identifier
1043313299
Registry record updated Mar 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014875 Issued in PA
Practice address
8600 W Chester Pike
Suite 108
Upper Darby, PA 19082-2629
Phone
(610) 387-6056
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW014875 PA Primary

Addresses

Primary practice location

8600 W Chester Pike
Suite 108
Upper Darby, PA 19082-2629

Mailing address

8600 W Chester Pike
Ste 108
Upper Darby, PA 19082-2629
Phone (610) 209-2837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100505000560 PA Practitioner - Clinical Social Worker 9133257520 Practice locations: Drexel Hill, PA; Havertown, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

614 Darby Rd
Havertown, PA 19083-4634
Phone (610) 209-2837

717 Concord Ave
Drexel Hill, PA 19026-2401
Phone (610) 209-2837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Danielle Havelin LLC Clinical Past Accepting new patients
Laurie a Patterson LLC Clinical PastSince Mar 6, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489795200000",
    "number": "1043313299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 W CHESTER PIKE",
            "address_2": "STE 108",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822629",
            "telephone_number": "610-209-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 W CHESTER PIKE",
            "address_2": "SUITE 108",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822629",
            "telephone_number": "610-387-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "LAURIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2017-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

Verify at the official NPI Registry.