Active NPI
Patricia Obrien, LCSW
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1083251185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 75267
- Practice address
- 2535 Camino del Rio S Ste 303
San Diego, CA 92108-3757 - Phone
- (619) 777-6870
- NPI assigned
- Dec 8, 2019
- Last updated
- Sep 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW22761 | FL | |
| Clinical Social Worker | 1041C0700X | 22761 | FL | |
| Clinical Social Worker | 1041C0700X | 75267 | CA | Primary |
Addresses
Primary practice location
2535 Camino del Rio S Ste 303
San Diego, CA 92108-3757
Mailing address
2535 Camino del Rio S Ste 303
San Diego, CA 92108-3757
Phone (619) 777-6870
Other practice location 1
80 SW 8th St Ste 2000
Miami, FL 33130-3038
Phone (323) 205-7088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22761 | FL | MD | Clinical Social Worker |
| SW22761 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Filizetti Psychological Services | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1083251185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 CAMINO DEL RIO S STE 303",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083757",
"telephone_number": "619-777-6870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 CAMINO DEL RIO S STE 303",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083757",
"telephone_number": "619-777-6870"
}
],
"practiceLocations": [
{
"address_1": "80 SW 8th St Ste 2000",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331303038",
"country_code": "US",
"telephone_number": "323-205-7088",
"fax_number": "833-419-0181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OBRIEN",
"first_name": "PATRICIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-08",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW22761",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "22761",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "75267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.