Organization Active NPI

Patricia L Gilchrist LCSW PA

  • Community/Behavioral Health Agency
  • Port Charlotte, FL
National Provider Identifier
1114184884
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW 4404 Issued in FL
Legal business name
PATRICIA L GILCHRIST LCSW PA
Practice address
13294 Commonwealth Ave
Port Charlotte, FL 33981-4316
Phone
(941) 276-5096
Fax
(941) 698-1045
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Ms. Patricia Lee Gilchrist, LCSW
Title
Owner
Phone
(941) 276-5096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW 4404 FL Primary

Addresses

Primary practice location

13294 Commonwealth Ave
Port Charlotte, FL 33981-4316

Mailing address

13294 Commonwealth Ave
Port Charlotte, FL 33981-4316
Phone (941) 276-5096

Other identifiers 1

IdentifierTypeStateIssuer
677288996MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1114184884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13294 COMMONWEALTH AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339814316",
            "telephone_number": "941-276-5096",
            "fax_number": "941-698-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13294 COMMONWEALTH AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339814316",
            "telephone_number": "941-276-5096",
            "fax_number": "941-698-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA L GILCHRIST LCSW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "GILCHRIST",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-276-5096",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW 4404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "677288996",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.