Individual provider Active NPI

Courtney Allison Patti, LCSW

  • Clinical Social Worker
  • Front Royal, VA
National Provider Identifier
1083983704
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16871 Issued in MD
Practice address
130A E Main St
Front Royal, VA 22630-3163
Phone
(402) 520-3005
Fax
(540) 252-3125
NPI assigned
Dec 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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 16871 MD Primary

Addresses

Primary practice location

130A E Main St
Front Royal, VA 22630-3163

Mailing address

130A E Main St
Front Royal, VA 22630-3163
Phone (540) 252-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 10, 2025 through Apr 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Warrior Psychotherapy Services, PLLC Clinical CurrentSince Feb 23, 2025 Accepting new patients

Locations

130A E Main St
Front Royal, VA 22630
Phone (540) 252-0300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1083983704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130A E MAIN ST",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303163",
            "telephone_number": "540-252-0300",
            "fax_number": "540-252-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130A E MAIN ST",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303163",
            "telephone_number": "402-520-3005",
            "fax_number": "540-252-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTI",
        "first_name": "COURTNEY",
        "middle_name": "ALLISON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-26",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

Verify at the official NPI Registry.