Individual provider Active NPI

Patricia Anne Farrell, MSW, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1104355841
Registry record updated Jun 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06150 Issued in MD
Practice address
540 E Belvedere Ave Ste 203
Baltimore, MD 21212-3750
Phone
(443) 926-9115
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 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 06150 MD Primary

Addresses

Primary practice location

540 E Belvedere Ave Ste 203
Baltimore, MD 21212-3750

Mailing address

4201 Harcourt Rd
Baltimore, MD 21214-3409
Phone (410) 426-6642

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

LicenseStateTypeSpecialty
06150MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Sky Therapy Services, LLC PastSince Jul 1, 2017 Accepting new patients
Farrell & Associates Past 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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1104355841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 HARCOURT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212143409",
            "telephone_number": "410-426-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E BELVEDERE AVE STE 203",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123750",
            "telephone_number": "443-926-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "name_prefix": "Prof.",
        "credential": "MSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.