Christopher D Patchet

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW023265 Issued in PA

Practice address

709 N 2ND Street
Suite 400 #1035
Philadelphia, PA 19123-3219

Phone

(267) 972-0365

Fax

(267) 465-6360

NPI assigned

Jun 12, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Awesome Life Skills LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
  • NPI 1841902343
  NPD Authorized official

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1154980092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 N 2ND STREET",
            "address_2": "SUITE 400 #1035",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233108",
            "telephone_number": "619-459-8141",
            "fax_number": "267-465-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N 2ND STREET",
            "address_2": "SUITE 400 #1035",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233219",
            "telephone_number": "267-972-0365",
            "fax_number": "267-465-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATCHET",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00947028",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christopherpatchet@awesomelifeskills.com",
            "affiliation": "N",
            "endpointDescription": "Business Contact Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "709 N 2nd Street",
            "address_2": "Suite 400 #1035",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mario J Pasuquin, CRNP
• Pat Riley M.D. & Associates
• Nicholas Stephen Patapis, PSY.D.
• Arthur S Patchefsky, M.D.
• Elizabeth Anne Patchell, PT, DPT
• Nicole Jadawn Pate
• Amee Patel Condron
• Sejal Patel-Francis, PHARMD
• Nima M Patel-Shori, PHARMD
• Aabhar Patel, DMD

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.