Individual provider Active NPI

Patricia Ann Larkin, LMSW, LCSW, LCADC

  • Clinical Social Worker
  • Nanuet, NY
National Provider Identifier
1134496649
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01277500 Issued in NJ
Practice address
55 Old Nyack Tpke
Suite 601
Nanuet, NY 10954-2461
Phone
(914) 715-8088
NPI assigned
Nov 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00131800 NJ
Social Worker 104100000X 036955-1 NY
Clinical Social Worker 1041C0700X 44SC01277500 NJ Primary

Addresses

Primary practice location

55 Old Nyack Tpke
Suite 601
Nanuet, NY 10954-2461

Mailing address

55 Old Nyack Tpke
Suite 601
Nanuet, NY 10954-2461
Phone (914) 715-8088

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37LC00131800NJMDAddiction (Substance Use Disorder) Counselor
036955-1NYMDSocial Worker
44SC01277500NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1134496649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 OLD NYACK TPKE",
            "address_2": "SUITE 601",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542461",
            "telephone_number": "914-715-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OLD NYACK TPKE",
            "address_2": "SUITE 601",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542461",
            "telephone_number": "914-715-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "LMSW, LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00131800",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "036955-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01277500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.