Individual provider Active NPI

Patrick Belsan, MSW

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1154863967
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW10993 Issued in FL
Practice address
10770 N 46TH St
Suite C-100
Tampa, FL 33617-3442
Phone
(813) 787-5465
NPI assigned
Nov 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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 ISW10993 FL Primary

Addresses

Primary practice location

10770 N 46TH St
Suite C-100
Tampa, FL 33617-3442

Mailing address

10770 N 46TH St
Suite C-100
Tampa, FL 33617-3442
Phone (813) 787-5465

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
ISW10993FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1154863967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10770 N 46TH ST",
            "address_2": "SUITE C-100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336173442",
            "telephone_number": "813-787-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10770 N 46TH ST",
            "address_2": "SUITE C-100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336173442",
            "telephone_number": "813-787-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELSAN",
        "first_name": "PATRICK",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW10993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.